Organization Active NPI

Vita Lucida Mental Wellness, a Professional Nursing Corporation

  • Psychiatric/Mental Health Nurse Practitioner
  • Monrovia, CA
National Provider Identifier
1043152994
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
VITA LUCIDA MENTAL WELLNESS, A PROFESSIONAL NURSING CORPORATION
Practice address
517 S Ivy Ave
Monrovia, CA 91016-2827
Phone
(323) 576-6210
NPI assigned
Apr 8, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Authorized official

Name
Adriana Jimenez, PMHNPNPI 1558214791
Title
Owner
Phone
(323) 576-6210

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

517 S Ivy Ave
Monrovia, CA 91016-2827

Mailing address

517 S Ivy Ave
Monrovia, CA 91016-2827

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1775606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775606400000",
    "number": "1043152994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 S IVY AVE",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910162827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 S IVY AVE",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910162827",
            "telephone_number": "323-576-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITA LUCIDA MENTAL WELLNESS, A PROFESSIONAL NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-08",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "ADRIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-576-6210",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monrovia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; 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.