Active NPI
Marvin Gil Manalo
- Family Nurse Practitioner
- Panorama City, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95032534
- Practice address
- 8215 Van Nuys Blvd Ste 100
Panorama City, CA 91402-4827 - Phone
- (818) 901-0373
- NPI assigned
- Oct 29, 2024
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95032534 | CA | Primary |
Addresses
Primary practice location
8215 Van Nuys Blvd Ste 100
Panorama City, CA 91402-4827
Mailing address
11856 Balboa Blvd # 470
Granada Hills, CA 91344-2753
Phone (818) 390-0804
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8215 Van Nuys Blvd
Suite 100
Panorama City, CA 91402-4827
Phone (818) 853-8989
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mallu Reddy MD Inc | Family | Current | Accepting new patients |
| Mallu Reddy, M.D. Inc. | Current | Accepting new patients |
Locations
459 S Azusa Ave
Ste F
Azusa, CA 91702
Phone (626) 969-7538
1196 N Park Ave
Pomona, CA 91768
Phone (909) 623-4050
1798 N Garey Ave
Pomona, CA 91767
Phone (909) 865-9810
999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 3
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.
-
- Community Health Clinic/Center
- Panorama City, CA
- NPI 1487455424
-
- Internal Medicine Physician
- Pomona, CA
- NPI 1184821340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763510400000",
"number": "1437971561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11856 BALBOA BLVD # 470",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "913442753",
"telephone_number": "818-390-0804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8215 VAN NUYS BLVD STE 100",
"city": "PANORAMA CITY",
"state": "CA",
"postal_code": "914024827",
"telephone_number": "818-901-0373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANALO",
"first_name": "MARVIN GIL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-10-29",
"last_updated": "2025-11-19",
"certification_date": "2025-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95032534",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Panorama City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.