Active NPI
Elijah Manzo, BA
- Rehabilitation Practitioner
- Anaheim, CA
National Provider Identifier
1255819066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 1360 S Anaheim Blvd
Anaheim, CA 92805-6205 - Phone
- (714) 225-0169
- NPI assigned
- Aug 2, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | CA | Primary |
Addresses
Primary practice location
1360 S Anaheim Blvd
Anaheim, CA 92805-6205
Mailing address
1360 S Anaheim Blvd
Anaheim, CA 92805-6258
Phone (949) 610-2845
Other practice location 1
1855 W Katella Ave Ste 150
Orange, CA 92867-3432
Phone (714) 399-3480 ext. 103
Other names 1
- Mr. Elijah E. Manzo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773705600000",
"number": "1255819066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1360 S ANAHEIM BLVD",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928056258",
"telephone_number": "949-610-2845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1360 S ANAHEIM BLVD",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928056205",
"telephone_number": "714-225-0169"
}
],
"practiceLocations": [
{
"address_1": "1855 W Katella Ave Ste 150",
"address_purpose": "LOCATION",
"city": "Orange",
"state": "CA",
"postal_code": "928673432",
"country_code": "US",
"telephone_number": "714-399-3480 x103",
"fax_number": "714-399-3481",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANZO",
"first_name": "ELIJAH",
"credential": "BA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-08-02",
"last_updated": "2026-03-17",
"certification_date": "2026-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIJAH",
"last_name": "MANZO",
"middle_name": "E.",
"prefix": "MR.",
"credential": "BA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.