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Renato Mendoza Manzano, RN, CNS

Clinical Nurse Specialist, Adult Health in San Diego, CA. Individual provider (NPI-1).

NPI number1124893995
StatusActive
Last updated in NPPESNov 21, 2023

Details

NPI
1124893995
Entity type
Individual (NPI-1)
Name
Renato Mendoza Manzano
Credential
RN, CNS
Sex
Male
Sole proprietor
No
Enumeration date
Nov 21, 2023
Certification date
Nov 20, 2023
Last updated
Nov 21, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
364SA2200X Clinical Nurse Specialist, Adult Health3193CAYes

Practice location

200 W Arbor Dr
San Diego, CA 92103-9000

Phone 619-543-8243

Mailing address

200 W Arbor Dr
San Diego, CA 92103-9000

Phone 619-543-4689

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Adult Health Clinical Nurse Specialist providers in San Diego, CA

All 5 Adult Health Clinical Nurse Specialist providers in San Diego · All 61,118 providers in San Diego

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