Individual provider Active NPI

Anthony Binala Pascual, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Santa Clarita, CA
National Provider Identifier
1013776699
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95024157 Issued in CA
Practice address
18134 Jupiter LN
Santa Clarita, CA 91350-3286
Phone
(818) 730-3950
NPI assigned
Mar 18, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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 95024157 CA Primary

Addresses

Primary practice location

18134 Jupiter LN
Santa Clarita, CA 91350-3286

Mailing address

18134 Jupiter LN
Santa Clarita, CA 91350-3286
Phone (818) 730-3950

Other practice location 1

8817 Reseda Blvd Ste A
Northridge, CA 91324-5394
Phone (661) 655-7586

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
95024157CAMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1013776699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18134 JUPITER LN",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913503286",
            "telephone_number": "818-730-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18134 JUPITER LN",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913503286",
            "telephone_number": "818-730-3950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8817 Reseda Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Northridge",
            "state": "CA",
            "postal_code": "913245394",
            "country_code": "US",
            "telephone_number": "661-655-7586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PASCUAL",
        "first_name": "ANTHONY",
        "middle_name": "BINALA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95024157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.