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

Edgar Ivan Manzano

Individual provider Day Training/Habilitation Specialist · NPI 1730952573

Edgar Ivan Manzano is a Day Training/Habilitation Specialist in Santa Rosa, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023
Specialties on file
2

Practice location Address checks out

2225 Challenger Way
Santa Rosa, CA 95407-5441
Phone: (707) 565-4970
Show map & directions

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

Specialties & licences

Day Training/Habilitation Specialist (primary) Taxonomy 373H00000X (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X (CA)

Record details

NPI number1730952573
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 2, 2023
Last updated in NPPESMarch 23, 2026
Certification dateMarch 23, 2026

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