Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alfonso Cruz Manuel

Individual provider Nurse Practitioner · NPI 1124563358

Alfonso Cruz Manuel is a Nurse Practitioner in North Hollywood, California. Qualified in 2016, 10 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
10
Licensed in
CA
In the registry since
2016
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

7653 Coldwater Canyon Ct
North Hollywood, CA 91605-2048
Phone: (818) 200-7062
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95005711 (CA)

Record details

NPI number1124563358
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 25, 2016
Last updated in NPPESMay 7, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in North Hollywood