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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SAMUEL W MANIS, CHW

Active Sole Proprietor

SAMUEL W MANIS, CHW is a Community Health Worker healthcare provider located in JAMUL, California. NPI 1780560714 is currently active in the NPPES registry. Verify at CMS.

Community Health Worker · JAMUL, CA

Registration Details

NPI Number
1780560714
Provider Type
Individual
Gender
Male
NPI Issued
Aug 14, 2025 (0.97823520644222 yrs)
Last Updated
Aug 14, 2025
Sole Proprietor
Yes

Practice Information

Address
14229 HILLSIDE DR
JAMUL, CA, 919353239
Browse CA providers · Browse ZIP 91935
Phone
6197333698
Primary Specialty
Community Health Worker
172V00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.