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

Premalata Manickam, MD

Individual provider Pediatrics Physician · NPI 1154353654

Premalata Manickam, MD is a Pediatrics Physician in Fontana, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

9985 Sierra Ave Kaiser Permanente Mob 2B
Fontana, CA 92335-6720
Phone: (909) 427-5993
Fax: (909) 427-4287
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence C52156 (CA)

Record details

NPI number1154353654
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 7, 2006
Last updated in NPPESOctober 13, 2021
Certification dateOctober 13, 2021

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