Ann Mari Aquino Dealdo, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95036569 Issued in CA

Practice address

20554 Roscoe Blvd
Winnetka, CA 91306-1746

Phone

(818) 341-9800

NPI assigned

Jul 14, 2025

Last updated

Aug 13, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Harbor Wound Care P CGroup PAC ID 0042704504, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Harbor Wound Care P.C.

  • General Practice Physician
  • Colton, CA
  • NPI 1427922392
  Medicare reassignment Care Compare group NPD
• Empire Wound Care

  • General Practice Physician
  • Monrovia, CA
  • NPI 1710796792
  NPD

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

{
    "created_epoch": "1752451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1063303279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12728 N WATT LN UNIT A",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913424890",
            "telephone_number": "213-265-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20554 ROSCOE BLVD",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "913061746",
            "telephone_number": "818-341-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEALDO",
        "first_name": "ANN MARI",
        "middle_name": "AQUINO",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-14",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95036569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daisy Anne Gardens Inc.
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• Kimberley Daughton
• David Chang DDS Inc
• Rowena Grace Ramirez De Guzman, P.T.
• Ashley Santos Descargar
• Anu Dharni, OTR/L
• Rohit Dharni
• Elijah Jesusa Dia
• Mehrnoosh Dianati, DDS

• Family Nurse Practitioner in Winnetka, CA
• Providers in Winnetka, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.