1. Home
  2. Directory
  3. California
  4. Indio
  5. Family Medicine
  6. NPI Profile

MARI CARLO MANZANA
NPI 1063946341
Family Medicine in Indio, CA

Active since April 13, 2017PECOS Enrolled
46900 MONROE ST, INDIO, CA 92201(833) 574-2273 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 3, 2021, Oct 15, 2020, Sep 5, 2020 and 2 more (5 updates tracked since 2017).

About Mari Carlo Manzana NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARI CARLO MANZANA (NPI 1063946341) is an individual family medicine provider in Indio, California, licensed in California (A157573) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS and is a graduate of University Of California, San Diego School Of Medicine (2017).

NPPES Registry Identity

NPI1063946341
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARI CARLO MANZANA
Location Address46900 MONROE STIndio, CA 92201-4827
Mailing AddressPo Box 66Imperial, CA 92251-0066 · (760) 332-8688
Phone(833) 574-2273
Sole ProprietorNo
Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 2017
Enumeration DateApril 13, 2017
Last NPPES UpdateDecember 3, 20215 updates tracked since enumeration
NPPES CertifiedOctober 15, 2020
✔ NPI 1063946341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A157573
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
46900 MONROE ST, Indio, CA 92201
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mari Carlo Manzana is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810320660
PECOS Enrollment IDI20191209001367
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COUNTY OF RIVERSIDE
Community/Behavioral Health
46900 MONROE ST, SUITE A-101
INDIO, CA 92201
Riverside County (951) 955-1503
COUNTY OF RIVERSIDE
Community/Behavioral Health
46900 MONROE ST, A-101
INDIO, CA 92201
Riverside County (760) 863-8145
DR. DAVID ROGERS DDS
Dentist
46900 MONROE ST, STE. B201
INDIO, CA 92201
Riverside County (760) 396-5733
DR. EDWARD CHARLES SHARP D.D.S., M.S.
Dentist (Pediatric Dentistry)
46900 MONROE ST
INDIO, CA 92201
Riverside County (760) 396-5733
ANTONIO MARTINEZ MARTINEZ JR.
Peer Specialist
46900 MONROE ST, SUITE 101
INDIO, CA 92201
Riverside County (760) 863-7219
JERRY FRANK JUHL PT
Physical Therapist
46900 MONROE ST, SUITE 304
INDIO, CA 92201
Riverside County (760) 289-3010
MRS. EMMELINE HELEN SOTO-ELLIOTT FNP-C
Nurse Practitioner (Family)
46900 MONROE ST
INDIO, CA 92201
Riverside County (866) 984-7483
DOYLE R. NICK, DDS, INC.
Dentist (General Practice)
46900 MONROE ST, SUITE B201
INDIO, CA 92201
Riverside County (760) 396-5733

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mari Carlo Manzana's NPI number?

The NPI number for Mari Carlo Manzana is 1063946341. It was assigned to this individual provider in the NPPES registry on April 13, 2017.

Where is Mari Carlo Manzana located?

Mari Carlo Manzana practices at 46900 Monroe St, Indio, CA 92201. The listed phone number is (833) 574-2273.

What is Mari Carlo Manzana's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mari Carlo Manzana enrolled in Medicare?

Yes. Mari Carlo Manzana is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mari Carlo Manzana was last updated on December 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.