Marivic Manlulu

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

462788 Issued in CA

Practice address

1700 Coffee Rd
Modesto, CA 95355-2803

Phone

(209) 526-4500

Fax

(209) 569-7328

NPI assigned

May 7, 2026

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1778112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1043147457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 COFFEE RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552803",
            "telephone_number": "209-526-4500",
            "fax_number": "209-569-7328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 COFFEE RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552803",
            "telephone_number": "209-526-4500",
            "fax_number": "209-569-7328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANLULU",
        "first_name": "MARIVIC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-07",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "CA",
            "license": "462788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Manguerra, LCSW
• Maninder Dhillon DDS Inc
• Breanna Manipol
• Julian Manjarrez Jr.
• Sumedh Mankar, D.O.
• Gurdeep Mann, DNP, FNP-C
• Linda Susan Mann, PHN
• Surjit Mann
• Sasi Kala Mannem, D.D.S.
• Arun Manoharan, MD

• Registered Nurse First Assistant in Modesto, CA
• Providers in Modesto, CA by specialty
• Registered Nurse First Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.