Individual provider Active NPI

Danielle Manna, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Encinitas, CA
National Provider Identifier
1407687007
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95036602 Issued in CA
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

Updated by the provider on Nov 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251210002640 CA Practitioner - Nurse Practitioner 8022502749 Reassigns benefits to 1 organization

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
Lipov Medical Group of Ca PCGroup PAC ID 8123504537, 8 clinicians

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

LicenseStateTypeSpecialty
95230439CAMDRegistered Nurse
95036602CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nima Fahimian MD Inc CurrentSince Nov 11, 2025 Accepting new patients
Lipov Medical Group of Ca PC CurrentSince Dec 8, 2025 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.

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

Verify at the official NPI Registry.