Theresa Manaloto, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A93110 Issued in CA

Practice address

8001 Madison Ave
Citrus Heights, CA 95610-7901

Phone

(916) 536-2420

Fax

(916) 962-0335

NPI assigned

Mar 30, 2007

Last updated

Nov 12, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

County of SacramentoGroup PAC ID 0345231247, 45 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tmanaloto673246@direct.ochin.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• County of Sacramento

  dba Sacramento County Health Center

  • Federally Qualified Health Center (FQHC)
  • Sacramento, CA
  • NPI 1366513061
  Medicare reassignment Care Compare group NPD
• County of Sacramento

  • Radiology Clinic/Center
  • Sacramento, CA
  • NPI 1508936030
  NPD

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1588784896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 MADISON AVE",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956107901",
            "telephone_number": "916-536-2420",
            "fax_number": "916-962-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANALOTO",
        "first_name": "THERESA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A93110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A931100",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A93110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruben G Maldonado
• Vanessa Malig
• Alexandria Elaine Mallari
• Jacquelyn Marie Maloy, M.A., BCBA
• Michelle Mambaje, MS, OTR/L
• Monica Manatt, PHARMD
• Paris Mangan
• Reyna Michelle Mangino
• Alicia Manisisaket
• Banjot Kaur Mann

• Family Medicine Physician in Citrus Heights, CA
• Providers in Citrus Heights, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.

Verify at the official NPI Registry.