Active NPI
Affinity Integrated Psychiatry Services PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Corona, CA
National Provider Identifier
1093425878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- AFFINITY INTEGRATED PSYCHIATRY SERVICES PLLC
- Practice address
- 765 N Main St
Corona, CA 92878-1440 - Phone
- (909) 714-7917
- NPI assigned
- Dec 1, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Judy Mwaura
- Title
- Nurse Practitioner
- Phone
- (909) 714-7917
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
765 N Main St
Corona, CA 92878-1440
Mailing address
765 N Main St
Corona, CA 92878-1440
Phone (909) 714-7917
National Provider Directory
National Provider DirectoryLocations
765 N Main St
Corona, CA 92878
Phone (619) 930-9534
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": "1669852800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743984000000",
"number": "1093425878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "765 N MAIN ST",
"city": "CORONA",
"state": "CA",
"postal_code": "928781440",
"telephone_number": "909-714-7917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "765 N MAIN ST",
"city": "CORONA",
"state": "CA",
"postal_code": "928781440",
"telephone_number": "909-714-7917"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AFFINITY INTEGRATED PSYCHIATRY SERVICES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-01",
"last_updated": "2025-04-07",
"certification_date": "2025-04-07",
"status": "A",
"authorized_official_last_name": "MWAURA",
"authorized_official_first_name": "JUDY",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "909-714-7917"
},
"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 Corona, CA
- Advance Access Ride LLC
- Advance Access Ride LLC
- Advanced RX Corona LLC (Advanced Care Pharmacy)
- Advent Health Medical Corporation
- Affinity Healthcare San Diego, Inc. (Art of Care)
- Afra Dental Group, Apc
- Lily Afshar, FNP-C
- Tara Agajanian, LCSW
- Agape Group, Inc (Caring Angels Hospice)
- Obi Etengeneng Agbor, LVN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.