Eulyses Profeta Manalo

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

95311685 Issued in CA

Practice address

8665 La Mesa Blvd
La Mesa, CA 91942-9503

Phone

(619) 465-0702

NPI assigned

Dec 10, 2025

Sex

Male

Sole proprietor

No

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": "1765324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1427912013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9115 CAMBON ST",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919775821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8665 LA MESA BLVD",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919429503",
            "telephone_number": "619-465-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANALO",
        "first_name": "EULYSES",
        "middle_name": "PROFETA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-10",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95311685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Maine, PT
• Sharon Mair, M.D.
• Christopher Makdesi, DO
• Tulsi Mali, DMD
• James R Malinak, M.D.
• Joyce M Mancini, NURSE PRACTITIONER
• Mandegar Medical Corp
• Mandegar Medical Corp
• Mehran Mandegar, M.D.
• Kaitlin Elizabeth Carter Mandel, WHNP/CNM

• Psychiatric/Mental Health Registered Nurse in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Psychiatric/Mental Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; 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.