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Deactivated NPI 1104522903 Deactivated / Inactive NPI Male Practitioner

Mohamed Manasrah

Driver • Corona, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Mohamed Manasrah has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 02, 2023
NPI Deactivation Date August 07, 2025
Total Practice Duration ~2 Years of Practice (2023 – 2025)

Professional Overview & Biography Verified Profile Summary

Mohamed Manasrah was a registered Driver practicing in Corona, CA. Throughout an active medical career spanning 2 years, Mohamed Manasrah provided care at the practice location at 8478 RENWICK DR until profile deactivation on 2025-08-07.

Practice Location & Contact Primary Location

Practice Address

8478 Renwick Dr

Corona, CA 928835699

Telephone 5592593244
Associated Practice Facility / Clinic
🏢 2waze Service Inc Facility NPI 1700761343

Specialty Benchmarks & Practice Insights

Comparative analytics for Driver in Corona, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 1.0 Yrs
Regional Practice Density
7 Specialists

Practicing in Corona, CA (785 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Driver Primary Specialty

NUCC Taxonomy Code: 172A00000X

A person employed to operate a motor vehicle as a carrier of persons or property.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
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NPI Profile Deactivated August 07, 2025

Record deactivated on August 07, 2025

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NPI Profile Deactivated August 06, 2025

Record deactivated on August 06, 2025

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Updated Practice Location June 24, 2025

Registered at 170 E YORBA LINDA BLVD # 1002, PLACENTIA, CA 928703327 (Tel: 5592593244)

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Updated Business Mailing Address June 24, 2025

Registered at 170 E YORBA LINDA BLVD # 1002, PLACENTIA, CA 928703327 (Tel: 5592593244)

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2025

Non-emergency Medical Transport (VAN)

NPI Profile Active February 02, 2023

NPI status registered as active in NPPES database

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Updated Practice Location February 02, 2023

Registered at 8478 RENWICK DR, CORONA, CA 928835699 (Tel: 5592593244)

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Updated Business Mailing Address February 02, 2023

Registered at 8478 RENWICK DR, CORONA, CA 928835699 (Tel: 5592593244)

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Provider Name / Credentials Updated February 02, 2023

Recorded as MOHAMED MANASRAH

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2023

Driver

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Initial NPI Registration & Enumeration February 02, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104522903
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 02, 2023
Last Update: February 02, 2023
Deactivation Date: August 07, 2025

Mailing Address

8478 Renwick Dr

Corona, CA 928835699

Phone: 5592593244

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.