IndividualActive
Jessica Marie Manzano, DDS
NPI 1124984612 · Dentist · San Diego, CA
Jessica Marie Manzano, DDS is a Dentist provider in San Diego, CA (NPI 1124984612).
Provider details
- NPI number
- 1124984612
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- 112495 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9225 Mira Mesa Blvd Ste 104
San Diego, CA 92126-4810
Phone: (858) 536-9383
Fax: (858) 536-9395
Street-level locationGet directions
Mailing address
9201 Midbury Ct
San Diego, CA 92126-4837
Registry dates
- Enumerated
- 2025-12-29
- Last updated
- 2025-12-29
- Certified
- 2025-12-29
Frequently asked questions
- What is Jessica Marie Manzano's NPI number?
- Jessica Marie Manzano's National Provider Identifier (NPI) is 1124984612, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jessica Marie Manzano's specialty?
- Jessica Marie Manzano is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Jessica Marie Manzano located?
- Jessica Marie Manzano's practice location on file with NPPES is 9225 Mira Mesa Blvd Ste 104, San Diego, CA 92126-4810.
- What is Jessica Marie Manzano's phone number?
- The practice phone number listed in the NPPES registry for Jessica Marie Manzano is (858) 536-9383.
- Is Jessica Marie Manzano's NPI active?
- Yes — Jessica Marie Manzano's NPI (1124984612) is active in the NPPES registry as of the last update on 2025-12-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.