Itzel Berenice Mancilla-Murillo, LCGC

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

License

GC002001 Issued in CA

Practice address

3800 W Chapman Ave Ste 2200
Orange, CA 92868-1612

Phone

(714) 456-7570

NPI assigned

Oct 8, 2025

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

State licenses

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

{
    "created_epoch": "1759881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1992670095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 W CHAPMAN AVE STE 2200",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928681612",
            "telephone_number": "714-456-7570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 W CHAPMAN AVE STE 2200",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928681612",
            "telephone_number": "714-456-7570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCILLA-MURILLO",
        "first_name": "ITZEL",
        "middle_name": "BERENICE",
        "credential": "LCGC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-08",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Genetic Counselor, MS",
            "state": "CA",
            "license": "GC002001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bjorn Daniel Manansala
• Michael Christopher Manazer
• Ajay Manchandia, MD
• Manchester Surgical Pavillion
• Michelle Manchester
• Brianna Alexis Mancilla
• Jennifer Wahida Mandhai, FNP
• Emily Mandujano
• Marcus David Manette
• Myers Manga, PA-C

• Genetic Counselor (M.S.) in Orange, CA
• Providers in Orange, CA by specialty
• Genetic Counselor (M.S.) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.