MANIPHANH NORAKY RN, FNP-C
NPI 1174174361
Nurse Practitioner - Primary Care in San Diego, CA

Active since September 27, 2019
4276 54TH PL STE C, SAN DIEGO, CA 92115(951) 442-6787 Get Directions Write a Review

NPPES record last updated: September 27, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Maniphanh Noraky Rn, Fnp-c NPPES

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

MANIPHANH NORAKY RN, FNP-C (NPI 1174174361) is an individual primary care provider in San Diego, California, licensed in California (F12180372) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1174174361
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMANIPHANH NORAKYCredential: RN, FNP-C
Location Address4276 54TH PL STE CSan Diego, CA 92115-6011
Mailing Address2402 Judson StSan Diego, CA 92111-6214 · (858) 397-8000
Sole ProprietorNo
Enumeration DateSeptember 27, 2019
NPI 1174174361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in CA · F12180372
Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License 662213 (CA)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License F12180372 (CA)
4276 54TH PL STE C, San Diego, CA 92115

Other Providers at the Same Location NPPES 5

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

Preventive Medicine (Public Health & General Preventive Medicine)
4276 54TH PL STE C
SAN DIEGO, CA 92115
Voluntary or Charitable
4276 54TH PL STE C
SAN DIEGO, CA 92115
Family Medicine
4276 54TH PL STE C
SAN DIEGO, CA 92115
Registered Nurse (General Practice)
4276 54TH PL STE C
SAN DIEGO, CA 92115
Specialist/Technologist (Athletic Trainer)
4276 54TH PL STE C
SAN DIEGO, CA 92115

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 Maniphanh Noraky's NPI number?

The NPI number for Maniphanh Noraky is 1174174361. It was assigned to this individual provider in the NPPES registry on September 27, 2019.

Where is Maniphanh Noraky located?

Maniphanh Noraky practices at 4276 54th Pl Ste C, San Diego, CA 92115. The listed phone number is (951) 442-6787.

What is Maniphanh Noraky's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Maniphanh Noraky was last updated on September 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.