Mikaela Ashley Manzano, MS, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86172209 Issued in CA

Practice address

1551 Hamilton Ave
San Jose, CA 95125-4540

Phone

(408) 746-5629

NPI assigned

Oct 6, 2023

Last updated

Jul 23, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• LGTC Management Company

  dba LGTC - Willow Glen

  • Psychiatric Residential Treatment Facility
  • San Jose, CA
  • NPI 1447987367
  NPD
• Los Gatos Therapy Center

  dba LGTC Willow Glen

  • Psychiatric Residential Treatment Facility
  • San Jose, CA
  • NPI 1528701976
  NPD

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

{
    "created_epoch": "1696550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1730960725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 HAMILTON AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951254540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 HAMILTON AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951254540",
            "telephone_number": "408-746-5629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZANO",
        "first_name": "MIKAELA",
        "middle_name": "ASHLEY",
        "credential": "MS, RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-06",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86172209",
            "primary": true
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuj Nangia, MD, Inc
• Camille Manzana
• Jesus Manzanero
• Eric Manzano
• Jose Francisco Manzano
• Annette P Manzo
• Arisbeth Manzo
• Brittany Manzo
• Daryl Wayne Manzo
• Jeri Mao, MD

• Registered Dietitian in San Jose, CA
• Providers in San Jose, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.

Verify at the official NPI Registry.