JENNINA MANZANO (FNP) – Internal Medicine Physician, NPI 1467112623
Internal Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
16,360 NURSE PRACTITIONER in CA
Provider Addresses for JENNINA MANZANO (FNP)
4825 N DARFIELD AVE
COVINA, CA 917241611
Phone:
Type: Mailing
PO BOX 512185
LOS ANGELES, CA 900510185
Phone:
Type: Mailing
209 FAIR OAKS AVE
SOUTH PASADENA, CA 910301814
Phone: (626) 396-2900
Fax: (626) 799-2889
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $560.
Total Amount is formed as General ($560) + Research ($0) + Ownership ($0) = $560.
Last reported payment date: 2024-11-05 • Largest payer in this snapshot: Novo Nordisk Inc ($181).
Total Amount
$560
General + Research + Ownership
Payments
18
Total payment records
General Amount
$560
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $181 |
| Abbott Laboratories | $125 |
| Bayer Healthcare Pharmaceuticals Inc. | $68 |
| Corcept Therapeutics | $40 |
| Radius Health, Inc. | $36 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-12-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20231229001255 | I | Nurse Practitioner | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 91724)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| Nurse Practitioner | CA | |
| Cardiovascular Disease (Cardiology) | CA | |
| Hematology/Oncology, Internal Medicine | CA | |
| - | CA | |
| Nurse Practitioner | CA | |
| Certified Registered Nurse Anesthetist (Crna) | CA | |
| Endocrinology, Internal Medicine | CA | |
| General Surgery | CA | |
| Certified Registered Nurse Anesthetist (Crna) | PA |
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