Melissa Rillo Manalo, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A64278 Issued in CA

Practice address

3400 W Ball Road
Suite 206
Anaheim, CA 92804

Phone

(714) 826-2380

Fax

(714) 826-2873

NPI assigned

Aug 5, 2006

Last updated

Dec 17, 2021By 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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Anaheim Global Medical Center, Inc

  dba Anaheim Global Medical Center

  • General Acute Care Hospital
  • Anaheim, CA
  • NPI 1790778488
  NPD (past)
• Anaheim Memorial Medical Center

  • General Acute Care Hospital
  • Anaheim, CA
  • NPI 1295782381
  NPD (past)
• Melissa R Manalo MD Inc

  • Pediatrics Physician
  • Anaheim, CA
  • NPI 1740389733
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1598774044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 W BALL RD STE 210",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043737",
            "telephone_number": "714-826-2380",
            "fax_number": "714-826-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 W BALL ROAD",
            "address_2": "SUITE 206",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92804",
            "telephone_number": "714-826-2380",
            "fax_number": "714-826-2873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANALO",
        "first_name": "MELISSA",
        "middle_name": "RILLO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A64278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS",
            "identifier": "1740389733",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ava Grace Malloy
• Sarah Malone
• Deborah Maly-Ross, CNM
• Nilima H Mamtora, MD
• Lady Einette Medina Manalo
• Abigail Manansala
• Manuel Mancera Jr.
• Jashen Mander
• Morgan Mandigo, MD
• Mane MD

• Pediatrics Physician in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; 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.