Active NPI
Joselito Manalad
- Psychiatric/Mental Health Registered Nurse
- Norwalk, CA
National Provider Identifier
1356110555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- 763933
- Practice address
- 13100 Studebaker Rd
Norwalk, CA 90650-2500 - Phone
- (562) 868-3751
- Fax
- (562) 929-2234
- NPI assigned
- Dec 28, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 763933 | CA | Primary |
Addresses
Primary practice location
13100 Studebaker Rd
Norwalk, CA 90650-2500
Mailing address
6091 Glenhaven Dr
Yorba Linda, CA 92886-6030
Phone (951) 252-7397
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 763933 | CA | MD | Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707177600000",
"number": "1356110555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6091 GLENHAVEN DR",
"city": "YORBA LINDA",
"state": "CA",
"postal_code": "928866030",
"telephone_number": "951-252-7397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13100 STUDEBAKER RD",
"city": "NORWALK",
"state": "CA",
"postal_code": "906502500",
"telephone_number": "562-868-3751",
"fax_number": "562-929-2234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANALAD",
"first_name": "JOSELITO",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-12-28",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "CA",
"license": "763933",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norwalk, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.