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ALFONSO CRUZ MANUEL
NPI 1124563358
Nurse Practitioner in North Hollywood, CA

Active since December 25, 2016PECOS EnrolledAccepts Medicare Assignment
7653 COLDWATER CANYON CT, NORTH HOLLYWOOD, CA 91605(818) 200-7062 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 7, 2024, Dec 25, 2016 (2 updates tracked since 2016).

About Alfonso Cruz Manuel NPPES

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

ALFONSO CRUZ MANUEL (NPI 1124563358) is an individual nurse practitioner in North Hollywood, California, licensed in California (95005711) and active in the NPI registry since December 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1124563358
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameALFONSO CRUZ MANUEL
Location Address7653 COLDWATER CANYON CTNorth Hollywood, CA 91605-2048
Mailing Address7653 Coldwater Canyon CtNorth Hollywood, CA 91605-2048 · (818) 200-7062
Phone(818) 200-7062
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 25, 2016
Last NPPES UpdateMay 7, 20242 updates tracked since enumeration
✔ NPI 1124563358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95005711
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
7653 COLDWATER CANYON CT, North Hollywood, CA 91605
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Other Identifiers 1

Other95005711CA · Np Furnishing Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alfonso Cruz Manuel is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294099818
PECOS Enrollment IDI20180508001391
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Alfonso Manuel reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern California Permanente Medical Group
1.1 mi
Health Maintenance Organization
13652 CANTARA ST
Panorama City, CA 91402
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1407888928 (818) 375-2000
Integrated Allied Medical Group
6.8 mi
Family Medicine
313 E PROVIDENCIA AVE APT F
Burbank, CA 91502
  • Reassigned Medicare billing, California enrollment
  • 17 clinicians in this Medicare group
NPI 1649970740 (323) 528-2781
A2 Healthcare System
14 mi
General Practice
818 N BROADWAY STE 205
Los Angeles, CA 90012
  • Reassigned Medicare billing, California enrollment
NPI 1457228660 (818) 930-6136
Woundwell Care Medical Group Inc
15 mi
Nurse Practitioner
818 N BROADWAY STE 205
Los Angeles, CA 90012
  • Reassigned Medicare billing, California enrollment
  • 3 clinicians in this Medicare group
NPI 1285424853 (818) 206-5083

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow G0181
This service involves a physician overseeing your care while you receive Medicare-covered services from a home health agency. The care you're receiving is complex and involves various disciplines. The physician isn't physically present but regularly supervises your treatment to ensure optimal health outcomes.
24 services12 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91605 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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 Alfonso Manuel's NPI number?

The NPI number for Alfonso Manuel is 1124563358. It was assigned to this individual provider in the NPPES registry on December 25, 2016.

Where is Alfonso Manuel located?

Alfonso Manuel practices at 7653 Coldwater Canyon Ct, North Hollywood, CA 91605. The listed phone number is (818) 200-7062.

What is Alfonso Manuel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Alfonso Manuel enrolled in Medicare?

Yes. Alfonso Manuel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Alfonso Manuel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alfonso Manuel reassigns Medicare benefits to 4 organizations: Southern California Permanente Medical Group (Panorama City, CA), Integrated Allied Medical Group (Burbank, CA), A2 Healthcare System (Los Angeles, CA) and Woundwell Care Medical Group Inc (Los Angeles, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alfonso Manuel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alfonso Manuel was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.