Mary Caroline E. Macam Manalo, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

NP95016452 Issued in CA

Practice address

701 Pleasant Grove Blvd #125
Roseville, CA 95678

Phone

(916) 784-7700

NPI assigned

Jan 31, 2021

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

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1612051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612051200000",
    "number": "1336730571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6511 NEBULA CT",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "95677",
            "telephone_number": "951-756-3618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 PLEASANT GROVE BLVD #125",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "95678",
            "telephone_number": "916-784-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANALO",
        "first_name": "MARY CAROLINE E.",
        "middle_name": "MACAM",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-31",
        "last_updated": "2021-01-31",
        "certification_date": "2021-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "NP95016452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariko Mally, MFT, RN
• Glenn Mark Saga Malolot, MD
• Feso Benjamin Malufau Jr., B.A. PSYCHOLOGY
• James Y Mamone, M.D.
• Lemuel Titus Velasco Manalo, M.D.
• Abdon Manaloto, D.D.S.
• Vanessa Jaiashree Mandal, MD
• Franziska Mandel
• Mansimran Kaur Mander
• Thomas Wade Maney, M.D.

• Primary Care Nurse Practitioner in Roseville, CA
• Providers in Roseville, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2021; 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.