Active NPI
Nicole Bovigny, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Santa Clarita, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95037192
- Practice address
- 28494 Westinghouse PL Ste 305
Santa Clarita, CA 91355-0935 - Phone
- (818) 794-7638
- Fax
- (818) 296-1037
- NPI assigned
- Oct 24, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95037192 | CA | Primary |
Addresses
Primary practice location
28494 Westinghouse PL Ste 305
Santa Clarita, CA 91355-0935
Mailing address
28494 Westinghouse PL Ste 305
Santa Clarita, CA 91355-0935
Phone (818) 794-7638
Other practice location 1
2825 E Cottonwood Pkwy Ste 500
Salt Lake City, UT 84121-7060
Phone (646) 941-7645
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
27403 Arriola Ave
Santa Clarita, CA 91350-2113
PO Box
Suite 451249
Los Angeles, CA 90045
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95037192 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ehab Yacoub MD Inc. | Current | Accepting new patients |
Locations
1225 W 190th St
Ste 280
Gardena, CA 90248
Phone (310) 515-8113
7250 Redwood Blvd
Ste 300
Novato, CA 94945
Phone (415) 683-9892
3200 E Guasti Rd
Ste 100
Ontario, CA 91761
Phone (877) 414-7739
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Child & Adolescent Psychiatry Physician
- Gardena, CA
- NPI 1417373713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785542400000",
"number": "1144198896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28494 WESTINGHOUSE PL STE 305",
"city": "SANTA CLARITA",
"state": "CA",
"postal_code": "913550935",
"telephone_number": "818-794-7638",
"fax_number": "818-296-1037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28494 WESTINGHOUSE PL STE 305",
"city": "SANTA CLARITA",
"state": "CA",
"postal_code": "913550935",
"telephone_number": "818-794-7638",
"fax_number": "818-296-1037"
}
],
"practiceLocations": [
{
"address_1": "2825 E Cottonwood Pkwy Ste 500",
"address_purpose": "LOCATION",
"city": "Salt Lake City",
"state": "UT",
"postal_code": "841217060",
"country_code": "US",
"telephone_number": "646-941-7645",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOVIGNY",
"first_name": "NICOLE",
"name_prefix": "Ms.",
"credential": "PMHNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-10-24",
"last_updated": "2026-08-01",
"certification_date": "2026-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95037192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Clarita, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2026; 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.