Melissa R Manalo MD Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A64278 Issued in CA

Legal business name

MELISSA R MANALO MD INC

Practice address

3400 West Ball Road
#206
Anaheim, CA 92804

Phone

(714) 826-2380

Fax

(714) 826-2873

NPI assigned

Sep 22, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Melissa Killo Manalo, MD

Title

President

Phone

(714) 826-2380

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Rillo Manalo, MD

  • Pediatrics Physician
  • Anaheim, CA
  • NPI 1598774044
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740389733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 WEST BALL ROAD",
            "address_2": "#206",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92804",
            "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 WEST BALL ROAD",
            "address_2": "#206",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92804",
            "telephone_number": "714-826-2380",
            "fax_number": "714-826-2873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA R MANALO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANALO",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "KILLO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-826-2380",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A64278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Vitalez Melgar
• Karla Melgoza
• Melinh DO DDS LLC
• Melissa Huy, PH.D., Inc.
• Melissa Illario, Licensed Clinical Social Worker PC
• Victoria Mellgren, PPS
• Vladislav Melnichenko, NP
• Melprotere Inc.
• Robert Joseph Melton, CST
• Inaaya Imran Memon

• 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.