Kailen Mangu

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

310380 Issued in CA

Practice address

3055 S Archibald Ave Ste C-2
Ontario, CA 91761-9007

Phone

(909) 460-6487

NPI assigned

Aug 26, 2026

Last updated

Aug 26, 2026By the provider in NPPES

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)

Enrolled

State licenses

Practice roles

Locations

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.

• Fairbanks & Power Physical Therapy Corp.

  dba PacificPro Physical Therapy & Sports Medicine

  • Physical Therapist
  • Irvine, CA
  • NPI 1912953936
  NPD

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

{
    "created_epoch": "1787702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1598672560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 S ARCHIBALD AVE STE C-2",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917619007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 S ARCHIBALD AVE STE C-2",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917619007",
            "telephone_number": "909-460-6487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGU",
        "first_name": "KAILEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-08-26",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "310380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rex Chang Manayan, M.D.
• Rosio Mancera, B.A.
• Ricardo Mancia
• Karina Lizeth Mancillas Sandoval
• Evelyn Mancillas-Estrada
• Manila Non- Medical Transportation Inc
• Allan Manio, PHARMD
• Manouchehri & Rodef Dental Corporation
• Dominador Peralta Mansat Jr., FNP-C
• Johnny Mansour, D.C.

• Physical Therapist in Ontario, CA
• Providers in Ontario, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; 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.