Joseph Matthew Aguirre
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Costa Mesa, CA
NPI 1093310997 · NPPES record last updated Mar 14, 2024
Key facts
- NPI
- 1093310997
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 95029453 (CA)
- Practice address
- 3083 Madison Ave
Costa Mesa, CA 92626-2823 - Phone
- (619) 987-4927
- NPI assigned
- Dec 1, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95181620 | CA | MD | Psychiatric/Mental Health Registered Nurse |
| 95029453 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neuro Wellness Spa, a Medical PC | Multi-Specialty | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse |
163WP0808X | 95181620 | CA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95029453 | CA | Yes |
Addresses
Primary practice location
3083 Madison Ave
Costa Mesa, CA 92626-2823
Mailing address
3083 Madison Ave
Costa Mesa, CA 92626-2823
Phone (619) 987-4927
Other providers in Costa Mesa, CA
- Odalis Aguilar
- Alvaro Adrian Aguirre
- Breanna Aguirre
- Evelyn Aguirre
- Jorge Aguirre
- Josephine Guadalupe Aguirre
- Munir Ahmadi
- Shiva Bakhtiari Ahmadi
- Meraj S Ahmed
- Nazli Ahmed
All providers in Costa Mesa, CA · Psychiatric/Mental Health Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.