Jacqueline Guadalupe Manzo Maravilla

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

301 E 13TH St Ste D
Merced, CA 95341-6211

Phone

(209) 386-1096

NPI assigned

Feb 18, 2022

Last updated

Jun 26, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1645142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1679228522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3433 W SHAW AVE STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113229",
            "telephone_number": "559-558-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E 13TH ST STE D",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953416211",
            "telephone_number": "209-386-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZO MARAVILLA",
        "first_name": "JACQUELINE",
        "middle_name": "GUADALUPE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-18",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mani Nallasivan M D Inc a Professional Corporation (Merced Vein & Vascular Center)
• Maniberry Healthcare Services (Maniberry Medical Center)
• Manolito Castillo, M.D., Inc.
• Rosalinda Mansfield, CASE MANAGER
• Ken Christoph Manu
• Humberto Manzo
• Martha Manzo
• Sofia Maqueda Moreno
• Rajiv Maraj, M.D.
• Grace Marania, MD

• Rehabilitation Practitioner in Merced, CA
• Providers in Merced, CA by specialty
• Rehabilitation Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; 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.