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

Dr. Philip M Manzano, MD

Individual provider Family Medicine Physician · NPI 1215596937

Dr. Philip M Manzano, MD is a Family Practice in Mesa, Arizona. Qualified in 2018, 8 years ago. Practices with Banner Primary Care Physicians Arizona LLC, a 237-clinician group and accepts Medicare assignment. Licensed in Arizona and New Mexico.

Years since qualifying
8
Licensed in
AZ, NM
In the registry since
2019
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1917 S Crismon Rd
Mesa, AZ 85209-6216
Phone: (806) 107-1004
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

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 67232 (AZ)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD2022-1994 (NM)
Family Medicine Physician Taxonomy 207Q00000X · Licence RS2019-0439 (NM)

Record details

NPI number1215596937
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 6, 2019
Last updated in NPPESSeptember 23, 2024
Certification dateSeptember 23, 2024

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Banner Primary Care Physicians Arizona Llc — 237 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mesa