BENJAMIN MORALES MANACOP III
NPI 1750152344
Nurse Practitioner - Psychiatric/Mental Health in Colton, CA

Active since January 11, 2024PECOS EnrolledAccepts Medicare Assignment
1007 E COOLEY DR STE 103, COLTON, CA 92324(951) 727-6460(909) 219-5336 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 12, 2026, Jan 11, 2026, Dec 30, 2025 (3 updates tracked since 2025).

About Benjamin Morales Manacop Iii NPPES

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

BENJAMIN MORALES MANACOP III (NPI 1750152344) is an individual psychiatric/mental health provider in Colton, California, licensed in California (95030284) and active in the NPI registry since January 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1750152344
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameBENJAMIN MORALES MANACOP III
Location Address1007 E COOLEY DR STE 103Colton, CA 92324-3901
Mailing Address1007 E Cooley Dr Ste 103Colton, CA 92324-3901 · (951) 727-6460 · Fax (909) 219-5336
Fax(909) 219-5336
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 11, 2024
Last NPPES UpdateJanuary 12, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2026
✔ NPI 1750152344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95030284
Also ListedRegistered Nurse · OncologyTaxonomy 163WX0200X · License 631790 (CA)
1007 E COOLEY DR STE 103, Colton, CA 92324

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Benjamin Morales Manacop Iii 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.

PECOS PAC ID9638697386
PECOS Enrollment IDI20250515003419
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

2

Medicare enrollment records show Benjamin Manacop reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Primary Care
1007 E COOLEY DR STE 103
Colton, CA 92324
  • Reassigned Medicare billing, California enrollment
  • 4 clinicians in this Medicare group
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 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 92324 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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 2

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

Nurse Practitioner (Primary Care)
1007 E COOLEY DR STE 103
COLTON, CA 92324
Nurse Practitioner (Family)
1007 E COOLEY DR STE 103
COLTON, CA 92324

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 Benjamin Manacop's NPI number?

The NPI number for Benjamin Manacop is 1750152344. It was assigned to this individual provider in the NPPES registry on January 11, 2024.

Where is Benjamin Manacop located?

Benjamin Manacop practices at 1007 E Cooley Dr Ste 103, Colton, CA 92324. The listed phone number is (951) 727-6460.

What is Benjamin Manacop's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Benjamin Manacop enrolled in Medicare?

Yes. Benjamin Manacop 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.

Which organizations bill Medicare for Benjamin Manacop's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Manacop reassigns Medicare benefits to 2 organizations: M Healthcare Nursing Corp (Colton, CA) and Grow Healthcare Group PC (San Jose, 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 Benjamin Manacop'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 Benjamin Manacop was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.