Bernadette Manalo, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

23051 Issued in CA

Practice address

7922 Glencoe Dr Apt 3
Huntington Beach, CA 92647-4111

Phone

(714) 624-9725

NPI assigned

May 31, 2013

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

Other names 1

• Bernadette Manalo Other name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: bernadette.manalo.p1@direct.fhccgla.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• County of Los Angeles

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1780877613
  Medicare reassignment NPD
• County of Los Angeles

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1295407401
  NPD

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

{
    "created_epoch": "1369958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503014400000",
    "number": "1245677293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7922 GLENCOE DR APT 3",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926474111",
            "telephone_number": "714-624-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7922 GLENCOE DR APT 3",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926474111",
            "telephone_number": "714-624-9725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANALO",
        "first_name": "BERNADETTE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-31",
        "last_updated": "2017-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "23051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BERNADETTE",
            "last_name": "MANALO",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Blanca Maldonado
• Angelica Joy Malek, D.C.
• Joel Marvin Mallari, COTA
• David Robert Maloney, D.C.
• Juliana Mamaghani, MA, BCBA
• Scott Anthony Mancuso, M.D.
• Christina Minh Mander, LMFT
• Nancy Maneval
• Michelle Marie Mangano, CAMTC #22754
• Jonathan Anh Tuan Manh

• Family Nurse Practitioner in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.