Premalata Manickam, M.D.
NPI 1154353654 · Pediatrics Physician · Fontana, CA
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Premalata Manickam, M.D. is a Pediatrics Physician provider in Fontana, CA (NPI 1154353654).
Provider details
- NPI number
- 1154353654
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- C52156 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
- 2006-07-07
- Last updated
- 2021-10-13
- Certified
- 2021-10-13
Frequently asked questions
- What is Premalata Manickam's NPI number?
- Premalata Manickam's National Provider Identifier (NPI) is 1154353654, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Premalata Manickam's specialty?
- Premalata Manickam is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Premalata Manickam located?
- Premalata Manickam's practice location on file with NPPES is 9985 Sierra Ave, Fontana, CA 92335-6720.
- What is Premalata Manickam's phone number?
- The practice phone number listed in the NPPES registry for Premalata Manickam is (909) 427-5993.
- Does Premalata Manickam accept Medicare?
- Premalata Manickam is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Premalata Manickam's NPI active?
- Yes — Premalata Manickam's NPI (1154353654) is active in the NPPES registry as of the last update on 2021-10-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.