It is one of many communities which make up the Black Hills Indian Reservation. It is about 1.90 miles east of Manzanita and 5.20 miles north of North Campo and 6.50 miles north of Campo. They are not to be confused with Campo, California which is 12.50 miles to the southwest of East Manzanita. Mexico is 9.8 miles to the south. There around 15 to 20 housing units in East Manzanita. However, the housing units are spread out over a large area. East Manzanita is not an actual settlement nor a CDP. The population of East Manzanita is probably between 30 and 50. The surrounding area is mountainous and has the appearance of a very lush desert. However, the climate conditions are not arid or desert like. The region receives around 15 inches of precipitation a year. You'll notice in the google earth photos the rocky terrain. Elevation is 4,100 feet about sea level. Below are several google earth photos of East Manzanita.