1. Home
  2. Directory
  3. California
  4. Corona
  5. Physician Assistant
  6. NPI Profile

LACEY MANZANARES
NPI 1669145553
Physician Assistant - Medical in Corona, CA

Active since July 27, 2021PECOS Enrolled
308 W 6TH ST STE 101, CORONA, CA 92882(951) 737-0910 Get Directions Write a Review

NPPES record last updated: July 15, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 15, 2023, Feb 13, 2023, Dec 11, 2021 and 1 more (4 updates tracked since 2021).

About Lacey Manzanares NPPES

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

LACEY MANZANARES (NPI 1669145553) is an individual medical provider in Corona, California and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669145553
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameLACEY MANZANARES
Location Address308 W 6TH ST STE 101Corona, CA 92882-3349
Mailing AddressPo Box 5089Norco, CA 92860-8003
Phone(951) 737-0910
Sole ProprietorNo
Enumeration DateJuly 27, 2021
Last NPPES UpdateJuly 15, 20234 updates tracked since enumeration
NPPES CertifiedJuly 15, 2023
✔ NPI 1669145553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
308 W 6TH ST STE 101, Corona, CA 92882
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lacey Manzanares 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.

Other Providers at the Same Location NPPES 4

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

RAQUEL M NUNEZ-SALAZAR FNP
Nurse Practitioner (Family)
308 W 6TH ST STE 101
CORONA, CA 92882
Riverside County (951) 737-0910
CORONA HEALTH SPECIALTY ASSOCIATES, LLC
Clinic/Center (Urgent Care)
308 W 6TH ST STE 101
CORONA, CA 92882
Riverside County (951) 737-0910
DR. DAVID P PHAM D.O
Emergency Medicine
308 W 6TH ST STE 101
CORONA, CA 92882
Riverside County (951) 737-0910
DANIEL A SUHR PA-C
Physician Assistant
308 W 6TH ST STE 101
CORONA, CA 92882
Riverside County (951) 737-0910

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 Lacey Manzanares's NPI number?

The NPI number for Lacey Manzanares is 1669145553. It was assigned to this individual provider in the NPPES registry on July 27, 2021.

Where is Lacey Manzanares located?

Lacey Manzanares practices at 308 W 6th St Ste 101, Corona, CA 92882. The listed phone number is (951) 737-0910.

What is Lacey Manzanares's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Lacey Manzanares enrolled in Medicare?

Yes. Lacey Manzanares is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lacey Manzanares was last updated on July 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.