Amanda Mancilla
NPI 1417452632ActiveIndividual· Pediatrics· Glendale, AZ
Pediatrics in Glendale, Arizona, licensed in AZ and MD, with an NPI issued in March 2018. Enrolled in Medicare as practitioner - pediatric medicine. Averitas Pharma Inc. reported $95.37 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1417452632 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Mar 28, 2018 |
| Last updated in NPPES | Jan 16, 2024 |
| Certified by provider | Jan 16, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | 70186 | AZ |
| Pediatrics | 208000000X | D94210 | MD |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pediatric Medicine (AZ) |
|---|
Industry payments (Open Payments)
- 2024$95.37 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Averitas Pharma Inc. | $95.37 | 1 |
What the 2024 payments were for
- Food and Beverage$95.37 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Pediatrics providers in Glendale
- 1104946771
- 1891850145
- 1003096801
- 1558085498
- 1851765887
- 1265202048
- 1336767342
- 1326367665
- 1376921106
- 1467032649
- 1619485489
- 1124011077