Individual provider Active NPI

Jasmine Maniti, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • San Rafael, CA
National Provider Identifier
1710765896
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95026794 Issued in CA
Practice address
874 4TH St Ste D1
San Rafael, CA 94901-3246
Phone
(415) 968-6515
NPI assigned
Sep 19, 2023
Last updated
Mar 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95026794 CA Primary

Addresses

Primary practice location

874 4TH St Ste D1
San Rafael, CA 94901-3246

Mailing address

874 4TH St Ste D1
San Rafael, CA 94901-3246
Phone (415) 968-6515

Other practice location 1

5888 Edinger Ave
Huntington Beach, CA 92649-1705
Phone (562) 704-0879

Other practice location 2

2029 Century Park E Ste 400
Los Angeles, CA 90067-2905
Phone (800) 465-3203

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
I20250724003881 CA Practitioner - Nurse Practitioner 6800303975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Telemedicine Urgent Care IncGroup PAC ID 6305248428, 15 clinicians

Practice addresses (Care Compare)

5888 Edinger Ave
Huntington Beach, CA 92649-1705
Phone (714) 716-2900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95026794CAMDLactation Consultant (Registered Nurse)

Practice roles

OrganizationSpecialtyStatusNew patients
Telemedicine Urgent Care Inc CurrentSince Jun 1, 2025 Accepting new patients
Smith Psychiatry LLC Psychiatric/Mental Health Past Accepting new patients
Mental Health Practitioners Psychiatric/Mental Health Past Accepting new patients

Locations (25 of 33)

2400 E Katella Ave
Ste 800
Anaheim, CA 92806
Phone (714) 696-2862

1712 19th St
Ste 213
Bakersfield, CA 93301

4900 California Ave
Ste 210B
Bakersfield, CA 93309
Phone (310) 963-0365

5329 Office Center Ct
Ste 224
Bakersfield, CA 93309
Phone (661) 455-7770

135 S State College Blvd
Ste 200
Brea, CA 92821
Phone (626) 283-5852

17777 Center Court Dr N
Ste 600
Cerritos, CA 90703
Phone (562) 246-5320

131 E 17th St
Ste A
Costa Mesa, CA 92627
Phone (714) 716-2900

1272 Center Court Dr
Ste 105
Covina, CA 91724
Phone (626) 869-4004

10100 Venice Blvd
Culver City, CA 90232

5888 Edinger Ave
#100A
Huntingtn Bch, CA 92649

5888 Edinger Ave
Huntington Beach, CA 92649
Phone (714) 377-7469

7545 Irvine Center Dr
Ste 200
Irvine, CA 92618
Phone (949) 503-5112

999 Corporate Dr
Ste 100
Ladera Ranch, CA 92694
Phone (619) 250-0142

23046 Avenida de la Carlota
Ste 600
Laguna Hills, CA 92653
Phone (714) 805-9070

111 W Ocean Blvd
Ste 400
Long Beach, CA 90802
Phone (562) 786-6557

4336 Katella Ave
Los Alamitos, CA 90720
Phone (562) 799-6000

39899 Balentine Dr
Newark, CA 94560
Phone (510) 626-9290

1640 2nd St
Ste 209
Norco, CA 92860
Phone (951) 888-8033

3200 E Guasti Rd
Ste 100
Ontario, CA 91761
Phone (877) 414-7739

1100 W Town and Country Rd
Ste 1250
Orange, CA 92868
Phone (657) 339-2799

300 E Esplanade Dr
Fl 9
Oxnard, CA 93036
Phone (805) 254-6249

117 E Colorado Blvd
Ste 600
Pasadena, CA 91105
Phone (615) 627-2259

680 E Colorado Blvd
Ste 180
Pasadena, CA 91101
Phone (213) 557-2286

11801 Pierce St
Ste 200
Riverside, CA 92505
Phone (323) 547-2662

7 W Figueroa St
Ste 200
Santa Barbara, CA 93101
Phone (805) 695-4446

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1710765896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "874 4TH ST STE D1",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013246",
            "telephone_number": "415-968-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "874 4TH ST STE D1",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013246",
            "telephone_number": "415-968-6515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5888 Edinger Ave",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926491705",
            "country_code": "US",
            "telephone_number": "562-704-0879",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2029 Century Park E Ste 400",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900672905",
            "country_code": "US",
            "telephone_number": "800-465-3203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANITI",
        "first_name": "JASMINE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-19",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95026794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

Verify at the official NPI Registry.