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

Manjula Michaelson

Individual provider Assisted Living Facility · NPI 1174935175

Manjula Michaelson is an Assisted Living Facility in Antioch, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2014

Practice location Address checks out

2828 Terrace View Ave
Antioch, CA 94531-6645
Phone: (925) 754-9206
Show map & directions

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

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence 079200834 (CA)

Record details

NPI number1174935175
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 24, 2014
Last updated in NPPESMay 16, 2022
Certification dateMay 16, 2022
Mailing address2828 Terrace View Ave, Antioch, CA 94531-6645

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