Victoria Mangunsong, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT26565 Issued in CA

Practice address

11354 Mountain View Ave
Suite C
Loma Linda, CA 92354-3855

Phone

(909) 796-8400

Fax

(909) 796-8444

NPI assigned

Jun 6, 2006

Sex

Female

Sole proprietor

Yes

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Rustiny, Inc

  • Physical Therapy Clinic/Center
  • Loma Linda, CA
  • NPI 1225893175

  Physical Therapist

  Medicare reassignment NPD Authorized official
• Victoria Mangunsong

  • Physical Therapy Clinic/Center
  • Loma Linda, CA
  • NPI 1184717795
  NPD (past) Authorized official
• Outback Physiotherapy Centre, Inc.

  • Physical Therapy Clinic/Center
  • Redlands, CA
  • NPI 1205882875

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708819200000",
    "number": "1699714287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26609 HUMMINGBIRD CT",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923546747",
            "telephone_number": "909-796-8400",
            "fax_number": "909-796-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11354 MOUNTAIN VIEW AVE",
            "address_2": "SUITE C",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543855",
            "telephone_number": "909-796-8400",
            "fax_number": "909-796-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGUNSONG",
        "first_name": "VICTORIA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2024-02-25",
        "certification_date": "2024-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT26565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marian Amameda Manansala
• Krish J Manchandia, M.D.
• Ravi Mandapati, M.D.
• Astkhik Mangasarian, DO
• Bonar Sofian Mangunsong
• Christina T Manh, M.D.
• Kristyn Anne Mannoia, M.D.
• Curtis Manolesco
• Jared R Manrique
• Nicole Mansur, PA-C

• Physical Therapist in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.