Yesenia Guadalupe Manzo-Meda, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

105061 Issued in CA

Practice address

1940 E Deere Ave Ste 100
Santa Ana, CA 92705-5718

Phone

(714) 923-8237

NPI assigned

Aug 20, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1598071136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 E DEERE AVE STE 100",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927055718",
            "telephone_number": "714-923-8237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 E DEERE AVE STE 100",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927055718",
            "telephone_number": "714-923-8237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZO-MEDA",
        "first_name": "YESENIA",
        "middle_name": "GUADALUPE",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-20",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "105061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clem-Ehros Manuel
• Jeffrey Manukian, ABAT
• Davie Marvan Manullang
• Robert Manus II
• Sarahi Manzanares
• Daniel Manzo
• Diana Manzo
• Gabriela Manzo, PHD
• Marisol Manzo
• Steven Manzo

• Clinical Social Worker in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.