DEZY MANI FNP
NPI 1235704750
Nurse Practitioner - Family in West Covina, CA

Active since May 26, 2021PECOS Enrolled
1135 S SUNSET AVE STE 401, WEST COVINA, CA 91790(626) 732-8393 Get Directions Write a Review

NPPES record last updated: February 1, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 25, 2022, Oct 17, 2022, May 26, 2021 (3 updates tracked since 2021).

About Dezy Mani Fnp NPPES

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

DEZY MANI FNP (NPI 1235704750) is an individual family provider in West Covina, California, licensed in California (95017420) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Chino.

NPPES Registry Identity

NPI1235704750
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDEZY MANICredential: FNP
Location Address1135 S SUNSET AVE STE 401West Covina, CA 91790-3921
Mailing Address13193 Central Ave Ste 220Chino, CA 91710-4179 · (909) 591-0843 · Fax (909) 591-7226
Sole ProprietorNo
Enumeration DateMay 26, 2021
Last NPPES UpdateFebruary 1, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 1, 2024
✔ NPI 1235704750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95017420
1135 S SUNSET AVE STE 401, West Covina, CA 91790

Secondary Practice Location 1

Location 113193 Central Ave Ste 220Chino, CA 91710-4179 · Phone (909) 591-0843 · Fax (909) 591-7226

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dezy Mani Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Dezy Mani reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
1135 S SUNSET AVE STE 401
West Covina, CA 91790
  • Reassigned Medicare billing, California enrollment
  • 114 clinicians in this Medicare group
General Practice
210 W SAN BERNARDINO RD
Covina, CA 91723
  • Reassigned Medicare billing, California enrollment
  • 70 clinicians in this Medicare group
Pain Medicine
830 S. CITRUS AVE, SUITE 201
Azusa, CA 91702
  • Reassigned Medicare billing, California enrollment
  • 109 clinicians in this Medicare group
Psychologist
220 S INDIAN HILL BLVD STE F
Claremont, CA 91711
  • Reassigned Medicare billing, California enrollment
  • 14 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91790 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.

Other Providers at the Same Location NPPES 20

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

Family Medicine
1135 S SUNSET AVE STE 401
WEST COVINA, CA 91790
Family Medicine
1135 S SUNSET AVE STE 401
WEST COVINA, CA 91790
Family Medicine
1135 S SUNSET AVE STE 401
WEST COVINA, CA 91790
Specialist
1135 S SUNSET AVE STE 401
WEST COVINA, CA 91790
Nurse Practitioner (Pediatrics)
1135 S SUNSET AVE STE 401
WEST COVINA, CA 91790
Nurse Practitioner (Family)
1135 S SUNSET AVE STE 401
WEST COVINA, CA 91790
Nurse Practitioner (Family)
1135 S SUNSET AVE STE 401
WEST COVINA, CA 91790
Psychiatry & Neurology (Psychiatry)
1135 S SUNSET AVE STE 401
WEST COVINA, CA 91790

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 Dezy Mani's NPI number?

The NPI number for Dezy Mani is 1235704750. It was assigned to this individual provider in the NPPES registry on May 26, 2021.

Where is Dezy Mani located?

Dezy Mani practices at 1135 S Sunset Ave Ste 401, West Covina, CA 91790. The listed phone number is (626) 732-8393.

What is Dezy Mani's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Dezy Mani enrolled in Medicare?

Yes. Dezy Mani is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Dezy Mani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dezy Mani reassigns Medicare benefits to 4 organizations: Emanate Health Medical Care Foundation (West Covina, CA), Emanate Health Medical Group (Covina, CA), Algos Inc., A Medical Corporation (Azusa, CA) and Health Service Alliance (Claremont, 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 Dezy Mani'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 Dezy Mani was last updated on February 1, 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.