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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

IVY DEANE GONZALES MANALO
NPI 1407549934
Internal Medicine in Oakland, CA

Active since May 31, 2023PECOS Enrolled
1411 E 31ST ST, OAKLAND, CA 94602(510) 437-4800(510) 535-7313 Get Directions Write a Review

NPPES record last updated: September 24, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 24, 2026, May 31, 2023 (2 updates tracked since 2023).

About Ivy Deane Gonzales Manalo NPPES

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

IVY DEANE GONZALES MANALO (NPI 1407549934) is an individual internal medicine provider in Oakland, California, licensed in California (A210870) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Brentwood.

NPPES Registry Identity

NPI1407549934
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameIVY DEANE GONZALES MANALO
Location Address1411 E 31ST STOakland, CA 94602-1018
Mailing Address1411 E 31st StOakland, CA 94602-1018 · (510) 437-4800 · Fax (510) 535-7313
Phone(510) 437-4800
Fax(510) 535-7313
Sole ProprietorNo
Enumeration DateMay 31, 2023
Last NPPES UpdateSeptember 24, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2026
✔ NPI 1407549934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A210870
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1411 E 31ST ST, Oakland, CA 94602
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Other Names 1

Former Name (1)Ivy Deane Cruz Gonzales

Secondary Practice Location 1

Location 1350 John Muir Pkwy Ste 105Brentwood, CA 94513-5183 · Phone (925) 513-2483 · Fax (510) 506-7727

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ivy Deane Gonzales Manalo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 94602 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 20

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

MS. YVONNE DIANE ESCARSEGA MSW
Social Worker (Clinical)
1411 E 31ST ST
OAKLAND, CA 94602
Alameda County (510) 437-4373
MR. JUAN CASILLAS JR. NP
Nurse Practitioner (Family)
1411 E 31ST ST
OAKLAND, CA 94602
Alameda County (510) 437-4800
SADHANA SAMANT MD
Obstetrics & Gynecology
1411 E 31ST ST, OAKCARE MEDICAL GROUP
OAKLAND, CA 94602
Alameda County (510) 437-4323
PATRICIA SCOTT MEYER PA
Clinical Nurse Specialist (Emergency)
1411 E 31ST ST
OAKLAND, CA 94602
Alameda County (209) 342-2300
NATHALIE BALOGUN MSW MPH
Social Worker (Clinical)
1411 E 31ST ST, ALAMEDA COUNTY MEDICAL CENTER - MEDICAL SOCAL WORK SRVC
OAKLAND, CA 94602
Alameda County (510) 437-4949
CYNTHIA MARIE ROWDEN RN
Registered Nurse (Ambulatory Care)
1411 E 31ST ST
OAKLAND, CA 94602
Alameda County (510) 437-4373
DR. KAYLA ENRIQUEZ MD
Emergency Medicine
1411 E 31ST ST
OAKLAND, CA 94602
Alameda County (510) 437-4564
DR. CHERYL LIN PARK M.D.
Surgery
1411 E 31ST ST
OAKLAND, CA 94602
Alameda County (510) 437-4743

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 Ivy Deane Manalo's NPI number?

The NPI number for Ivy Deane Manalo is 1407549934. It was assigned to this individual provider in the NPPES registry on May 31, 2023. The provider is also known as Ivy Deane Cruz Gonzales.

Where is Ivy Deane Manalo located?

Ivy Deane Manalo practices at 1411 E 31st St, Oakland, CA 94602. The listed phone number is (510) 437-4800.

What is Ivy Deane Manalo's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ivy Deane Manalo enrolled in Medicare?

Yes. Ivy Deane Manalo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ivy Deane Manalo was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.