OPHELIA MANURUNG
NPI 1710876677
Speech-Language Pathologist in Redlands, CA

Active since July 02, 2025
1452 ORANGE AVE APT 45, REDLANDS, CA 92373(909) 809-8922 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ophelia Manurung NPPES

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

OPHELIA MANURUNG (NPI 1710876677) is an individual speech-language pathologist provider in Redlands, California, licensed in California (34382) and active in the NPI registry since July 2025. She is a graduate of Loma Linda University School Of Medicine (2021).

NPPES Registry Identity

NPI1710876677
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameOPHELIA MANURUNG
Location Address1452 ORANGE AVE APT 45Redlands, CA 92373-4403
Mailing Address1452 Orange Ave Apt 45Redlands, CA 92373-4403 · (909) 809-8922
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2021
Enumeration DateJuly 2, 2025
NPPES CertifiedJuly 2, 2025
NPI 1710876677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in CA · 34382
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
1452 ORANGE AVE APT 45, Redlands, CA 92373

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ophelia Manurung is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8729589817
PECOS Enrollment IDI20250829002322

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 Ophelia Manurung's NPI number?

The NPI number for Ophelia Manurung is 1710876677. It was assigned to this individual provider in the NPPES registry on July 2, 2025.

Where is Ophelia Manurung located?

Ophelia Manurung practices at 1452 Orange Ave Apt 45, Redlands, CA 92373. The listed phone number is (909) 809-8922.

What is Ophelia Manurung's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Ophelia Manurung enrolled in Medicare?

Yes. Ophelia Manurung is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ophelia Manurung was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.