Elizabeth Manullang
NPI 1063989382 · Certified Registered Nurse Anesthetist · Colton, CA
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Elizabeth Manullang is a Certified Registered Nurse Anesthetist provider in Colton, CA (NPI 1063989382).
Provider details
- NPI number
- 1063989382
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 756129 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-10-24
- Last updated
- 2018-10-24
Frequently asked questions
- What is Elizabeth Manullang's NPI number?
- Elizabeth Manullang's National Provider Identifier (NPI) is 1063989382, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Elizabeth Manullang's specialty?
- Elizabeth Manullang is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Elizabeth Manullang located?
- Elizabeth Manullang's practice location on file with NPPES is 400 N Pepper Ave, Colton, CA 92324-1819.
- What is Elizabeth Manullang's phone number?
- The practice phone number listed in the NPPES registry for Elizabeth Manullang is (877) 873-2762.
- Does Elizabeth Manullang accept Medicare?
- Elizabeth Manullang is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Elizabeth Manullang's NPI active?
- Yes — Elizabeth Manullang's NPI (1063989382) is active in the NPPES registry as of the last update on 2018-10-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.