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MICHELLE NAZANINE MANESH
NPI 1881214039
Surgery in Los Angeles, CA

Active since April 17, 2020PECOS Enrolled
1200 N STATE ST BLDG A7D, LOS ANGELES, CA 90089(240) 778-3529 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 9, 2024, Apr 17, 2020 (2 updates tracked since 2020).

About Michelle Nazanine Manesh NPPES

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

MICHELLE NAZANINE MANESH (NPI 1881214039) is an individual surgery provider in Los Angeles, California, licensed in California (A190702) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881214039
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameMICHELLE NAZANINE MANESH
Location Address1200 N STATE ST BLDG A7DLos Angeles, CA 90089-1001
Mailing Address7061 31st St NwWashington, DC 20015-1432 · (240) 778-3529
Phone(240) 778-3529
Sole ProprietorNo
Enumeration DateApril 17, 2020
Last NPPES UpdateApril 9, 20242 updates tracked since enumeration
NPPES CertifiedApril 9, 2024
✔ NPI 1881214039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in CA · A190702
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1200 N STATE ST BLDG A7D, Los Angeles, CA 90089
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle Nazanine Manesh 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.

Medicare Billing Reassignment

Medicare enrollment records show Michelle Manesh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
5.5 mi
Health Maintenance Organization
4760 W SUNSET BLVD
Los Angeles, CA 90027
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1134151657 (323) 783-4011

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 90089 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
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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 3

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

DANIELLE ELISE MERCEDES BRABENDER MD
Student in an Organized Health Care Education/Training Program
1200 N STATE ST BLDG A7D
LOS ANGELES, CA 90089
Los Angeles County (323) 442-9064
JESSICA CLOTHIER
Student in an Organized Health Care Education/Training Program
1200 N STATE ST BLDG A7D
LOS ANGELES, CA 90089
Los Angeles County (972) 658-9742
PATRICK KENNEDY MCGILLEN MD
Surgery
1200 N STATE ST BLDG A7D
LOS ANGELES, CA 90089
Los Angeles County (323) 226-2622

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 Michelle Manesh's NPI number?

The NPI number for Michelle Manesh is 1881214039. It was assigned to this individual provider in the NPPES registry on April 17, 2020.

Where is Michelle Manesh located?

Michelle Manesh practices at 1200 N State St Bldg A7d, Los Angeles, CA 90089. The listed phone number is (240) 778-3529.

What is Michelle Manesh's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Michelle Manesh enrolled in Medicare?

Yes. Michelle Manesh is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michelle Manesh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Manesh reassigns Medicare benefits to Southern California Permanente Medical Group (Los Angeles, CA). 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 Michelle Manesh'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 Michelle Manesh was last updated on April 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.