Individual provider Active NPI

Mina Cheriki, RN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Anaheim, CA
National Provider Identifier
1033803176
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95034676 Issued in CA
Practice address
1720 W Ball Rd Ste 4C
Anaheim, CA 92804-5591
Phone
(714) 683-1472
NPI assigned
Jun 2, 2023
Last updated
May 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95034676 CA Primary
Registered Nurse 163W00000X 95250143 CA

Addresses

Primary practice location

1720 W Ball Rd Ste 4C
Anaheim, CA 92804-5591

Mailing address

1720 W Ball Rd Ste 4C
Anaheim, CA 92804-5591
Phone (714) 683-1472

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
I20250623001984 CA Practitioner - Nurse Practitioner 3971015314 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coast Medical P CGroup PAC ID 2062951205, 8 clinicians

Practice addresses (Care Compare)

1720 W Ball Rd
Suite 4C
Anaheim, CA 92804-5591
Phone (714) 683-1472

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95250143CAMDRegistered Nurse
95034676CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ehab Yacoub MD Inc. CurrentSince Oct 27, 2025 Accepting new patients
Coast Medical, PC Psychiatric/Mental Health CurrentSince May 30, 2025 Accepting new patients
Volunteers of America of Los Angeles PastSince Jun 1, 2023 Accepting new patients

Locations

1720 W Ball Rd
Ste 4C
Anaheim, CA 92804
Phone (714) 683-1472

532 N Magnolia Ave
Anaheim, CA 92801
Phone (408) 475-4446

1225 W 190th St
Ste 280
Gardena, CA 90248
Phone (310) 515-8113

17075 Devonshire St
Ste 204
Northridge, CA 91325
Phone (818) 368-8929

3017 Douglas Blvd
Ste 300
Roseville, CA 95661
Phone (916) 774-7120

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": "1685664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1033803176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 W BALL RD STE 4C",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928045591",
            "telephone_number": "714-683-1472",
            "fax_number": "714-683-1473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 W BALL RD STE 4C",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928045591",
            "telephone_number": "714-683-1472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERIKI",
        "first_name": "MINA",
        "credential": "RN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-02",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95034676",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95250143",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.