Active NPI
Danielle Manna, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Encinitas, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95036602
- Practice address
- 700 Garden View CT Ste 102
Encinitas, CA 92024-2478 - Phone
- (908) 965-8112
- NPI assigned
- Aug 13, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95230439 | CA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95036602 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
700 Garden View CT Ste 102
Encinitas, CA 92024-2478
Mailing address
3346 Graybar CT
Oceanside, CA 92056-3267
Phone (760) 419-2187
Other names 1
- Danielle Elder
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12381 Wilshire Blvd
Suite 205
Los Angeles, CA 90025-1063
Phone (213) 894-9696
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95230439 | CA | MD | Registered Nurse |
| 95036602 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nima Fahimian MD Inc | Current | Accepting new patients | |
| Lipov Medical Group of Ca PC | Current | Accepting new patients |
Locations
700 Garden View Ct
Ste 102
Encinitas, CA 92024
Phone (760) 783-0441
15785 Laguna Canyon Rd
Ste 125
Irvine, CA 92618
Phone (949) 342-5950
800 Wilshire Blvd
Ste 530
Los Angeles, CA 90017
Phone (213) 894-9696
12381 Wilshire Blvd
Ste 205
Los Angeles, CA 90025
Phone (213) 894-9696
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Los Angeles, CA
- NPI 1497635221
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Los Angeles, CA
- NPI 1144879149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764028800000",
"number": "1407687007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3346 GRAYBAR CT",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920563267",
"telephone_number": "760-419-2187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 GARDEN VIEW CT STE 102",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920242478",
"telephone_number": "908-965-8112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNA",
"first_name": "DANIELLE",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-13",
"last_updated": "2025-11-25",
"certification_date": "2025-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95230439",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95036602",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANIELLE",
"last_name": "ELDER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Encinitas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.