Lisette V Manriquez, NP
Lisette V Manriquez, NP is a Nurse Practitioner in San Ysidro, California. Qualified in 2022, 4 years ago. Practices with Centro De Salud De La Comunidad De San Ysidro, Inc, a 291-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 4
- Licensed in
- CA
- In the registry since
- 2021
- Specialties on file
- 2
What do these letters mean?
- NP — Nurse Practitioner
- An advanced practice nurse who can diagnose, treat and in most states prescribe.
Practice location Address checks out
4004 Beyer BlvdSan Ysidro, CA 92173-2007
Phone: (619) 662-4100
Fax: (619) 474-3722
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 3020 Childrens Way, San Diego, CA 92123-4223 — (858) 576-1700
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence NP95021930 (CA) |
|---|---|
| Registered Nurse | Taxonomy 163W00000X · Licence 95238600 (CA) |
Record details
| NPI number | 1760058911 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | NP |
| Sole proprietor | No |
| NPI enumerated | May 28, 2021 |
| Last updated in NPPES | April 17, 2025 |
| Certification date | April 17, 2025 |
| Mailing address | 4004 Beyer Blvd, San Ysidro, CA 92173-2007 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Centro De Salud De La Comunidad De San Ysidro,Inc. — 291 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in San Ysidro
-
Yessica Lupita Hernandez, RN
4004 Beyer Blvd, San Ysidro, CA 92173-2099 · (619) 205-6383
-
Nicole Renteria, RN
3364 Beyer Blvd, San Ysidro, CA 92173-1322 · (619) 662-4100