Jared R. Manrique
NPI 1497580187ActiveIndividual· Physician Assistant, Medical· Loma Linda, CA
Physician Assistant, Medical with Faculty Physicians and Surgeons of Llusm, practicing in Loma Linda, California. Enrolled in Medicare as practitioner - physician assistant. Lists Loma Linda University Medical Center as a hospital affiliation.
Overview
| NPI | 1497580187 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Sep 3, 2024 |
| Last updated in NPPES | Jan 2, 2025 |
| Certified by provider | Dec 18, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | PA65396 | CA |
| Physician Assistant | 363A00000X | — | — |
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 - Physician Assistant (CA) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Faculty Physicians and Surgeons of LlusmLoma Linda, CA · 1,315 clinicians
Hospital affiliation
- Loma Linda University Medical CenterLoma Linda, CA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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