EDGAR IVAN MANZANO
NPI 1730952573
Day Training/Habilitation Specialist in Santa Rosa, CA

Q: What is Edgar Manzano's NPI number?

The NPI number for Edgar Manzano is 1730952573. It was assigned to this individual provider in the NPPES registry on November 2, 2023.

Q: What is Edgar Manzano's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

Q: When was this NPI record last updated?

The NPPES record for Edgar Manzano was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 02, 2023

2225 CHALLENGER WAY, SANTA ROSA, CA 95407(707) 565-4970 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 23, 2026, Sep 4, 2025, Nov 6, 2023 and 1 more (4 updates tracked since 2023).

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About Edgar Ivan Manzano NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDGAR IVAN MANZANO (NPI 1730952573) is an individual day training/habilitation specialist in Santa Rosa, California and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1730952573

Entity TypeIndividualMale

Primary Taxonomy373H00000X

Provider Legal NameEDGAR IVAN MANZANO

Location Address2225 CHALLENGER WAYSanta Rosa, CA 95407-5441

Mailing Address2225 Challenger WaySanta Rosa, CA 95407-5441 · (707) 565-4970

Phone(707) 565-4970

Sole ProprietorYes

Enumeration DateNovember 2, 2023

Last NPPES UpdateMarch 23, 20264 updates tracked since enumeration

NPPES CertifiedMarch 23, 2026

✔ NPI 1730952573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers

Taxonomy Code373H00000X

Definition

Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

2225 CHALLENGER WAY, Santa Rosa, CA 95407

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHEL J AVILA

Counselor (Addiction (Substance Use Disorder))