Premalata Manickam
M.D. | Pediatrics | Female
Premalata Manickam, M.D. is a Fontana, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Premalata Manickam is
9985 Sierra Ave, Kaiser Permanente, Mob 2b, Fontana, California - 92335-6720. She can be contacted on phone at
909-427-5993 and fax number 909-427-4287.
Premalata Manickam is a sole proprietor of her business.
NPI number (Unique professional ID) for Premalata Manickam is
1154353654 which was assigned by NPPES on 07 Jul, 2006 and it was last updated on 13 Oct, 2021.
Premalata Manickam license number is
C52156 for Pediatrics (208000000X) in California.
Premalata Manickam is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Premalata Manickam basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Premalata Manickam |
|---|
| Credential : | M.D. |
|---|
| Gender : | Female |
|---|
| Sole Proprietor : | Yes |
|---|
Business Address:
Premalata Manickam address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 9985 Sierra Ave, Kaiser Permanente, Mob 2b
Fontana, CA, 92335-6720
United States |
|---|
| Phone Number : | 909-427-5993 |
|---|
| Fax Number : | 909-427-4287 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1154353654 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 07 Jul, 2006 |
|---|
| Last Updated On : | 13 Oct, 2021 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Premalata Manickam are as mentioned. Primary taxonomy code for Premalata Manickam, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | C52156 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Premalata Manickam such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 3386785 | MEDICAID | MI | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
SOAP
(SOAP URL) | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Carequality | | HIE
Health Information Exchange (HIE)
| OTHER
Other
C-CDA | 9961 SIERRA AVE,
FONTANA, CA, 92335-6720
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 9985 Sierra Ave, Kaiser Permanente ,pediatric Clinic Mob 2b
Fontana, CA, 92335-6720
United States |
|---|
| Phone Number : | 909-427-5993 |
|---|
| Fax Number : | 909-427-4287 |
|---|
Business Location:
Patients can refer following map for directions to
Premalata Manickam practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.