Organization Active NPI

Romeo N. Manalo

  • Durable Medical Equipment & Medical Supplies
  • Pomona, CA
National Provider Identifier
1417170218
Registry record updated Jul 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
DME02359F Issued in CA
Legal business name
ROMEO N. MANALO
Doing business as
Romeo N. Manalo
Practice address
570 N Towne Ave
Pomona, CA 91767-4826
Phone
(626) 472-7155
Fax
(626) 472-0167
NPI assigned
Apr 10, 2007
Last updated
Jul 30, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2018

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

Authorized official

Name
Mr. Romeo N Manalo Sr., MBA
Title
Owner/Ceo
Phone
(626) 472-7155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X DME02359F CA Primary

Addresses

Primary practice location

570 N Towne Ave
Pomona, CA 91767-4826

Mailing address

570 N Towne Ave
Pomona, CA 91767-4826
Phone (626) 472-7155

Other identifiers 1

IdentifierTypeStateIssuer
DME02359FMedicaidCA

Other names 1

  • ROMEO N. MANALO Doing business as

National Provider Directory

National Provider Directory

Locations

15468 Arrow Hwy
Baldwin Park, CA 91706
Phone (626) 472-7155

570 N Towne Ave
Pomona, CA 91767
Phone (626) 472-7155

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532908800000",
    "number": "1417170218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 N TOWNE AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917674826",
            "telephone_number": "626-472-7155",
            "fax_number": "626-472-0167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 N TOWNE AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917674826",
            "telephone_number": "626-472-7155",
            "fax_number": "626-472-0167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROMEO N. MANALO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2018-07-30",
        "status": "A",
        "authorized_official_last_name": "MANALO",
        "authorized_official_first_name": "ROMEO",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "626-472-7155",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "DME02359F",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME02359F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROMEO N. MANALO",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ROMEO N. MANALO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; 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.