Provider Demographics
NPI:1609642099
Name:BARRIGA, MANUEL HAZAEL (FNP)
Entity type:Individual
Prefix:
First Name:MANUEL
Middle Name:HAZAEL
Last Name:BARRIGA
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 S 5TH ST
Mailing Address - Street 2:
Mailing Address - City:BRAWLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92227-2408
Mailing Address - Country:US
Mailing Address - Phone:760-344-8100
Mailing Address - Fax:866-493-3117
Practice Address - Street 1:1550 PEPPER DR STE C
Practice Address - Street 2:
Practice Address - City:EL CENTRO
Practice Address - State:CA
Practice Address - Zip Code:92243-4166
Practice Address - Country:US
Practice Address - Phone:760-312-5900
Practice Address - Fax:866-493-3117
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-28
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95024078363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty