Jacob Manjooran, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

11276 Issued in NV

Practice address

8475 S Eastern Ave Ste 202
Las Vegas, NV 89123-2863

Phone

(775) 900-8475

NPI assigned

Jul 7, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• St Rose Psychiatry, PLLC

  • Psychiatry Physician
  • Las Vegas, NV
  • NPI 1043186463
  NPD Authorized official
• Southern Hills Medical Center, LLC

  • Psychiatric Hospital Unit
  • Las Vegas, NV
  • NPI 1407125321
  NPD (past)
• Southern Hills Medical Center, LLC

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1457306359
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1508863374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8475 S EASTERN AVE SUITE 202",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89123",
            "telephone_number": "775-900-8475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8475 S EASTERN AVE STE 202",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891232863",
            "telephone_number": "775-900-8475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANJOORAN",
        "first_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "11276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100506295",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "CC7754",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wilfredo Velasco Manio
• Sarah Maniora, NP
• Manipura Harsha Mulchandani MD a Professional Corporation
• Anfernee Manivong
• Arman Manjikian
• Rochelle D Manka, RRT
• Rebecca Mankins
• Alma Bautista Manlangit, R.N , APRN FNP-C
• Juan Samuel Manlangit
• Brooke Manley, CPC-I

• Psychiatry Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Psychiatry Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.