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

Vic Padila Managuelod, NP

Individual provider Nurse Practitioner · NPI 1619335544

Vic Padila Managuelod, NP is a Nurse Practitioner in Burbank, California. Qualified in 2015, 11 years ago. Practices with County of Los Angeles, a 390-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
11
Licensed in
CA
In the registry since
2016
Specialties on file
6
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

630 E Cypress Ave Apt A
Burbank, CA 91501-3211
Phone: (818) 813-4208
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95003644 (CA)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 95003644 (CA)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 95003644 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 95003644 (CA)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 95003644 (CA)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 95003644 (CA)

Record details

NPI number1619335544
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorYes
NPI enumeratedFebruary 6, 2016
Last updated in NPPESFebruary 6, 2016

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice County Of Los Angeles — 390 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Burbank