JARED R MANRIQUE
NPI 1497580187
Physician Assistant - Medical in Loma Linda, CA
About Jared R Manrique NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JARED R MANRIQUE (NPI 1497580187) is an individual medical provider in Loma Linda, California, licensed in California (PA65396) and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jared R Manrique 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.
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.
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
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 Jared Manrique's NPI number?
The NPI number for Jared Manrique is 1497580187. It was assigned to this individual provider in the NPPES registry on September 3, 2024.
Where is Jared Manrique located?
Jared Manrique practices at 25455 Barton Rd Ste 204B, Loma Linda, CA 92354. The listed phone number is (909) 558-6600.
What is Jared Manrique's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Jared Manrique enrolled in Medicare?
Yes. Jared Manrique 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.
When was this NPI record last updated?
The NPPES record for Jared Manrique was last updated on January 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.
# Jared R Manrique · NPI 1497580187
Medical physician in Loma Linda, California. Individual provider, active in the CMS NPPES registry since September 3, 2024.
## Identity
- **NPI:** 1497580187 (Entity type: Individual)
- **Enumerated:** September 3, 2024
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** PA65396 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 25455 BARTON RD STE 204B, Loma Linda, CA 92354-3130
- **Phone:** (909) 558-6600
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** January 2, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1497580187) · Data from the CMS NPPES public registry.