Individual provider Active NPI

Jennifer Renee Maneffa, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1770180028
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95015635 Issued in CA
Practice address
4829 Clairemont Dr
San Diego, CA 92117-2706
Phone
(858) 273-5300
NPI assigned
Oct 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95015635 CA Primary
Family Medicine Physician 207Q00000X 95015635 CA

Addresses

Primary practice location

4829 Clairemont Dr
San Diego, CA 92117-2706

Mailing address

4829 Clairemont Dr
San Diego, CA 92117-2706
Phone (858) 273-5300

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
I20201209002569 CA Practitioner - Nurse Practitioner 4880006253 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesee Medical Group IncGroup PAC ID 1254325350, 6 clinicians
Minuteclinic Diagnostic Medical Group of San Diego IncGroup PAC ID 2567520414, 40 clinicians

Practice addresses (Care Compare)

3880 Murphy Canyon Rd
Suite 120
San Diego, CA 92123-4411
Phone (858) 268-1111

4829 Clairemont Dr
San Diego, CA 92117-2706
Phone (866) 389-2727

Merit-based Incentive Payment System (MIPS)

Final score
80.12 of 100Reported as group
Quality
75.08
Improvement activities
40
Cost
79.41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95015635CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Primary Care California Family CurrentSince Jul 16, 2025 Accepting new patients
Genesee Medical Group Inc CurrentSince Feb 27, 2026 Accepting new patients
Minuteclinic Diagnostic Medical Group of San Diego Inc Family Medicine CurrentSince Oct 22, 2020 Accepting new patients

Locations

1401 S Baldwin Ave
Arcadia, CA 91007
Phone (626) 321-4210

8850 Valley View St
Buena Park, CA 90620
Phone (714) 827-7321

2510 El Camino Real
Carlsbad, CA 92008
Phone (760) 729-8941

2760 Fletcher Pkwy
El Cajon, CA 92020
Phone 6194614411 ext. 8221

4829 Clairemont Dr
San Diego, CA 92117
Phone (858) 273-5300

7850 Vista Hill Ave
San Diego, CA 92123
Phone (858) 836-8434

16773 Bernardo Center Dr
San Diego, CA 92128
Phone (858) 451-2630

29610 Rancho California Rd
Temecula, CA 92591
Phone (951) 699-0192

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Organizations & group practices 4

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": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1770180028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4829 CLAIREMONT DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921172706",
            "telephone_number": "858-273-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4829 CLAIREMONT DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921172706",
            "telephone_number": "858-273-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANEFFA",
        "first_name": "JENNIFER",
        "middle_name": "RENEE",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-08",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95015635",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "95015635",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.