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

Q: 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.

Q: What is Dezy Mani's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Dezy Mani was last updated on February 1, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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: July 26, 2026.

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

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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

Phone(626) 732-8393

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

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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, and ordering and referring status from the CMS PECOS system.

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.

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.

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