MS. COURTNEY MAE MANNINO
NPI 1639563869
Pediatrics in Los Angeles, CA
About Ms. Courtney Mae Mannino NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. COURTNEY MAE MANNINO (NPI 1639563869) is an individual pediatrics provider in Los Angeles, California, licensed in California (A146341) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Los Angeles.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Courtney Mae Mannino is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Courtney Mannino reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Corning, NY 14830
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Guthrie Medical Group PC
- 798 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 90095 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
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 Courtney Mannino's NPI number?
The NPI number for Courtney Mannino is 1639563869. It was assigned to this individual provider in the NPPES registry on March 25, 2015.
Where is Courtney Mannino located?
Courtney Mannino practices at 757 Westwood Plz B711 Rrumc, Los Angeles, CA 90095. The listed phone number is (310) 267-9129.
What is Courtney Mannino's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Courtney Mannino enrolled in Medicare?
Yes. Courtney Mannino is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Courtney Mannino's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Courtney Mannino reassigns Medicare benefits to Guthrie Medical Group, P.C. (Corning, NY). The 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 Courtney Mannino's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Courtney Mannino accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Courtney Mannino as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Courtney Mannino was last updated on July 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Ms. Courtney Mae Mannino · NPI 1639563869
Pediatrics physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since March 25, 2015.
## Identity
- **NPI:** 1639563869 (Entity type: Individual)
- **Enumerated:** March 25, 2015
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** A146341 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 757 WESTWOOD PLZ, B711 RRUMC, Los Angeles, CA 90095
- **Phone:** (310) 267-9129
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Guthrie Medical Group, P.C. (NPI 1134178635, Corning, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 3, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1639563869) · Data from the CMS NPPES public registry.