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

Mrs. Mary Jane Relampagos Mancuso, FNP

Individual provider Family Nurse Practitioner · NPI 1295922045

Mrs. Mary Jane Relampagos Mancuso, FNP is a Nurse Practitioner in Upland, California. Graduated from University of California, Geffen School of Medicine in 2007, 19 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
19
Trained at
University of California, Geffen School of Medicine
Licensed in
CA
In the registry since
2007
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1113 Alta Ave Ste #110
Upland, CA 91786-2800
Phone: (626) 922-8060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 545344 (CA)

Record details

NPI number1295922045
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedSeptember 26, 2007
Last updated in NPPESOctober 23, 2021
Certification dateOctober 23, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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