GEORGIANNA MANLY (NPI# 1275756033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275756033 |
| Entity Type | Individual |
| Full Name | GEORGIANNA MANLY |
| Credential | NURSE PRACTITIONER |
| Practice Address |
1075 Camino Del Rio S San Diego CA 92108-3538 |
| Practice Telephone | 6198814500 |
| Mailing Telephone | 6198814500 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2009-09-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0005X |
Clinic/Center Specialization: Ambulatory Family Planning Facility |
369835 | CA | Ambulatory Health Care Facilities |
| Street Address |
1075 CAMINO DEL RIO S |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92108-3538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497730758 | Grace Ellen Gates | Obstetrics & Gynecology | 1075 Camino Del Rio S, San Diego, CA 92108-3538 | 2005-12-09 |
| 1134728538 | Aimee Payumo Tavera | Registered Nurse | 1075 Camino Del Rio S, San Diego, CA 92108-3538 | 2020-10-19 |
| 1376184283 | Alicia Rochelle Diaz Hay | Registered Nurse | 1075 Camino Del Rio S, San Diego, CA 92108-3538 | 2019-10-01 |
| 1700435211 | Priya Reddy | Registered Nurse | 1075 Camino Del Rio S, San Diego, CA 92108-3538 | 2019-09-06 |
| 1922652916 | Nada El-ghezzaoui | Physician Assistant | 1075 Camino Del Rio S, San Diego, CA 92108-3538 | 2019-07-28 |
| 1407314438 | Alba Edmaly Lopez | Registered Nurse | 1075 Camino Del Rio S, San Diego, CA 92108-3538 | 2019-03-08 |
| 1841766920 | Kelsey Javelet Pappas | Physician Assistant | 1075 Camino Del Rio S, San Diego, CA 92108-3538 | 2018-10-16 |
| 1790260644 | Bianca Siravo | Advanced Practice Midwife | 1075 Camino Del Rio S, San Diego, CA 92108-3538 | 2018-09-26 |
| 1285140673 | Heather Nicole Anderson | Registered Nurse | 1075 Camino Del Rio S, San Diego, CA 92108-3538 | 2017-12-20 |
| 1629589767 | Kortney Seever | Registered Nurse | 1075 Camino Del Rio S, San Diego, CA 92108-3538 | 2017-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902801 | Keri Castaneda | Behavior Technician | 025 Camino Del Rio South Suite 101, San Diego, CA 92108 | 2020-11-06 |
| 1457963738 | Diyana Giorgees | Case Manager/Care Coordinator | 5005 Texas Street, St. 203, San Diego, CA 92108 | 2020-08-19 |
| 1780211896 | Lori Mildred Jerman | Marriage & Family Therapist | Healthy Minds Counseling Services, 1455 Frazee Road, Suite 880, San Diego, CA 92108 | 2020-03-26 |
| 1285260737 | Demetrius Anderson | Counselor | Telecare Corporation Ihot, 1660 Hotel Circle North, Suite 101, San Deigo, CA 92108 | 2020-03-17 |
| 1033742465 | Dasc Medical Inc | Durable Medical Equipment & Medical Supplies | 5520 Gill Village Way, 907, San Diego, CA 92108 | 2020-02-13 |
| 1508401092 | Chanda Denee Kizer | Marriage & Family Therapist | 3517 Camino Del Rio N, Suite 407, San Diego, CA 92108 | 2019-11-08 |
| 1225695562 | Jenna Rose Shurer | Nurse Practitioner | 5030 Camino De La Siesla Ste 106, San Diego, CA 92108 | 2019-05-22 |
| 1952967812 | Martha Kebede Mekonen | Chiropractor | 2667 Camino Del Rio South, Suite #313, San Diego, CA 92108 | 2019-05-16 |
| 1053886135 | Andrea Jiselly Munoz | Behavior Technician | 3505 Camino Del Rio South, Suite 200, San Diego, CA 92108 | 2018-10-04 |
| 1386128916 | Sarah Elisabeth Smith | Counselor | 7575 Metropolitan Dr., San Diego, CA 92108 | 2018-09-19 |
| Find all providers in zip 92108 | ||||
| Taxonomy Code | 261QA0005X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Family Planning Facility |
| An abortion/family planning facility where services are provided at a fixed specific location. An Ambulatory Family Planning Facility does not provide overnight accommodations. The following procedures may be performed at an Ambulatory Family Planning Facility: abortions, laproscopy, hysterectomies, tubule ligation and other related procedures. Abortion is considered voluntary termination of pregnancy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801440276 | Family Planning Associates Medical Group, Inc. | Clinic/Center | 301 N Prairie Ave Ste 611, Inglewood, CA 90301-4513 | 2019-07-24 |
| 1205490802 | Iradj Nazarian Md | Clinic/Center | 5043 Whittier Blvd, Los Angeles, CA 90022-3116 | 2019-04-29 |
| 1437632742 | Family Planning Associates Medical Group, Inc. | Clinic/Center | 43845 10th St W Ste 1e, Lancaster, CA 93534-4800 | 2018-09-12 |
| 1245738194 | Soheil Lahijani M.d., A Medical Corporation | Clinic/Center | 1113 Alta Ave Ste 105, Upland, CA 91786-2803 | 2018-01-25 |
| 1093236986 | Family Planning Associates Medical Group, Inc. | Clinic/Center | 4922 Whittier Blvd, East Los Angeles, CA 90022-1111 | 2017-06-29 |
| 1700312642 | A1 Transportation Inc | Clinic/Center | 7247 Dustin Allan Ln, Van Nuys, CA 91405-2197 | 2017-05-11 |
| 1699156331 | Oakridge Inn Rcfe LLC. | Clinic/Center | 1281 Oakridge Dr, Glendale, CA 91205-3412 | 2015-06-17 |
| 1801205703 | Lew Medical | Clinic/Center | 960 Honeywood Ln, La Habra, CA 90631-6921 | 2014-08-05 |
| 1144564527 | Banj Health Center, Inc. | Clinic/Center | 3620 Mlk Jr Blvd, Lynwood, CA 90262-2607 | 2012-11-25 |
| 1306180195 | Genghong Liu IIi | Clinic/Center | 39156 State St, Fremont, CA 94538-1436 | 2012-11-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.