Jennifer Manibot Meza

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95014643 Issued in CA

Practice address

930 Blue Ridge Rd
Davis, CA 95616

Phone

(530) 752-2800

NPI assigned

Sep 2, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Ole Health

  • Federally Qualified Health Center (FQHC)
  • Davis, CA
  • NPI 1558366823
  Medicare reassignment NPD
• Ole Health

  • Federally Qualified Health Center (FQHC)
  • Woodland, CA
  • NPI 1558469064
  NPD
• Ole Health

  • Federally Qualified Health Center (FQHC)
  • West Sacramento, CA
  • NPI 1881330579
  NPD

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1750995346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 BLUE RIDGE RD",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "95616",
            "telephone_number": "530-752-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 BLUE RIDGE RD",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "95616",
            "telephone_number": "530-752-2800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 W Beamer St",
            "address_purpose": "LOCATION",
            "city": "Woodland",
            "state": "CA",
            "postal_code": "956952510",
            "country_code": "US",
            "telephone_number": "530-405-2800",
            "fax_number": "530-204-5295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANIBOT MEZA",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-02",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95014643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Marie Majestic
• Mak and Vicuna Dental Corporation
• Dinah Malkin, M.S. RPE
• Paris Adora Maloof-Bury, CNM
• Richard A Mandelaris, DMD
• Philip Manibusan-Magaoay
• Daljit Singh Mann, MD
• Walter James Mansfield
• Laura Lynn Mansouri, PH.D.
• Alisa Manzano, M.S., P.T.

• Family Nurse Practitioner in Davis, CA
• Providers in Davis, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.