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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MR. SUNGGUH MANULLANG
NPI 1740115856
Nurse Practitioner - Family in Loma Linda, CA

Active since June 17, 2026
11234 ANDERSON ST, LOMA LINDA, CA 92350(909) 558-4000 Get Directions Write a Review

NPPES record added: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mr. Sungguh Manullang NPPES

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

MR. SUNGGUH MANULLANG (NPI 1740115856) is an individual family provider in Loma Linda, California, licensed in California (95039627) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1740115856
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. SUNGGUH MANULLANG
Location Address11234 ANDERSON STLoma Linda, CA 92350-1716
Mailing Address11234 Anderson StLoma Linda, CA 92350-1716
Phone(909) 558-4000
Sole ProprietorNo
Enumeration DateJune 17, 2026
NPPES CertifiedJune 17, 2026
✔ NPI 1740115856 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 · 95039627
11234 ANDERSON ST, Loma Linda, CA 92350
Open in Google Maps ↗

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.

DR. THUCAN TIMOTHY BUI DO
Emergency Medicine
11234 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4344
VAHE YACOUBIAN MD, MPH
Orthopaedic Surgery
11234 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (818) 813-4234
AISHA Q EALEY APRN, ACCCNS-N
Clinical Nurse Specialist (Neonatal)
11234 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4248
MR. RANDAL KEITH GILMAN PA
Physician Assistant
11234 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4475
AMR AZZAM MD, PHD
Ophthalmology (Retina Specialist)
11234 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-2182
DARSH THAKRAR M.D.
Radiology (Diagnostic Radiology)
11234 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4000
HAITHAM SIAG MBBCH
Student in an Organized Health Care Education/Training Program
11234 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (914) 267-6104
PRESTON ANDREW SHIRSAT
Student in an Organized Health Care Education/Training Program
11234 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4074

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 Sungguh Manullang's NPI number?

The NPI number for Sungguh Manullang is 1740115856. It was assigned to this individual provider in the NPPES registry on June 17, 2026.

Where is Sungguh Manullang located?

Sungguh Manullang practices at 11234 Anderson St, Loma Linda, CA 92350. The listed phone number is (909) 558-4000.

What is Sungguh Manullang's specialty?

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

When was this NPI record last updated?

The NPPES record for Sungguh Manullang was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.