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

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: July 19, 2026.

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

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))
2225 CHALLENGER WAY
SANTA ROSA, CA 95407
Sonoma County (707) 565-5510
MS. ELIZABETH DONOHUE M.A., LMFT
Marriage & Family Therapist
2225 CHALLENGER WAY, ACCESS TEAM
SANTA ROSA, CA 95407
Sonoma County (707) 565-4981
MR. BRUCE BLACK PSYCH TECH
Licensed Psychiatric Technician
2225 CHALLENGER WAY
SANTA ROSA, CA 95407
Sonoma County (707) 576-8181
YOLANDA M. SPENCER LVN, CPT1
Licensed Vocational Nurse
2225 CHALLENGER WAY
SANTA ROSA, CA 95407
Sonoma County (707) 565-4850
MRS. LUCILLE A CAPO ROME NP
Registered Nurse (Psychiatric/Mental Health, Adult)
2225 CHALLENGER WAY
SANTA ROSA, CA 95407
Sonoma County (707) 565-6625
AARON O QUINONES SOSA LVN
Licensed Vocational Nurse
2225 CHALLENGER WAY
SANTA ROSA, CA 95407
Sonoma County (707) 576-8181
STEPHEN WILSEY LEUPOLD
Marriage & Family Therapist
2225 CHALLENGER WAY
SANTA ROSA, CA 95407
Sonoma County (707) 565-4970
DR. LISA ANN MORAN M.D.
Psychiatry & Neurology (Psychiatry)
2225 CHALLENGER WAY
SANTA ROSA, CA 95407
Sonoma County (707) 565-4970

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Edgar Manzano located?

Edgar Manzano practices at 2225 Challenger Way, Santa Rosa, CA 95407. The listed phone number is (707) 565-4970.

What is Edgar Manzano's specialty?

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

When was this NPI record last updated?

The NPPES record for Edgar Manzano was last updated on March 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.