Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elizabeth Karenina Manullang

Individual provider Certified Registered Nurse Anesthetist · NPI 1063989382

Elizabeth Karenina Manullang is a Certified Registered Nurse Anesthetist (CRNA) in Colton, California. Qualified in 2018, 8 years ago. Practices with Inland Empire Anesthesia Medical Group, Inc, a 38-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2018
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Practice location Address checks out

400 N Pepper Ave
Colton, CA 92324-1819
Phone: (877) 873-2762
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 756129 (CA)

Record details

NPI number1063989382
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 24, 2018
Last updated in NPPESOctober 24, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Inland Empire Anesthesia Medical Group, Inc — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Colton