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EDDIELYN MANGLALLAN FNP
NPI 1205092301
Nurse Practitioner - Family in Sacramento, CA

Active since July 29, 2008PECOS EnrolledAccepts Medicare Assignment
3701 J ST, SUITE # 201, SACRAMENTO, CA 95816(916) 454-2345(916) 457-2667 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eddielyn Manglallan Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDDIELYN MANGLALLAN FNP (NPI 1205092301) is an individual family provider in Sacramento, California, licensed in California (NP 17965) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1205092301
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameEDDIELYN MANGLALLANCredential: FNP
Location Address3701 J ST, SUITE # 201Sacramento, CA 95816-5562
Mailing Address3701 J St, Suite # 201Sacramento, CA 95816-5562 · (916) 454-2345 · Fax (916) 457-2667
Phone(916) 454-2345
Fax(916) 457-2667
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 29, 2008
Last NPPES UpdateJanuary 3, 2022
✔ NPI 1205092301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · NP 17965
3701 J ST, Sacramento, CA 95816
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Eddielyn Manglallan Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709056476
PECOS Enrollment IDI20110914000098
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95816 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. THOMAS WEY FONG DDS
Dentist (General Practice)
3701 J ST, SUITE 200
SACRAMENTO, CA 95816
Sacramento County (916) 457-7080
LILY JHANG
Nurse Practitioner (Primary Care)
3701 J ST
SACRAMENTO, CA 95816
Sacramento County (916) 454-2345
DR. RAZVAN ILIE FNP, DC
Nurse Practitioner (Family)
3701 J ST, STE 201
SACRAMENTO, CA 95816
Sacramento County (916) 454-2345
CRYSTELLE CAMILLE BERGINC FNP
Nurse Practitioner (Family)
3701 J ST, SUITE 201
SACRAMENTO, CA 95816
Sacramento County (855) 354-2242
GUSTAVO A ROSALES M.D.
Family Medicine
3701 J ST, SUITE 201
SACRAMENTO, CA 95816
Sacramento County (916) 454-2345
MRS. LAKSHMI S RAMANUJAM M.D.
Specialist
3701 J ST, STE 210
SACRAMENTO, CA 95816
Sacramento County (916) 736-2710
ZIL PHYSICAL THERAPY
Physical Therapist
3701 J ST, SUITE 201
SACRAMENTO, CA 95816
Sacramento County (916) 454-0184
DR. VICTOR A KYAW M.D.
Family Medicine
3701 J ST, SUITE 201
SACRAMENTO, CA 95816
Sacramento County (916) 454-2345

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eddielyn Manglallan's NPI number?

The NPI number for Eddielyn Manglallan is 1205092301. It was assigned to this individual provider in the NPPES registry on July 29, 2008.

Where is Eddielyn Manglallan located?

Eddielyn Manglallan practices at 3701 J St Suite # 201, Sacramento, CA 95816. The listed phone number is (916) 454-2345.

What is Eddielyn Manglallan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Eddielyn Manglallan enrolled in Medicare?

Yes. Eddielyn Manglallan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Eddielyn Manglallan was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.