Individual provider Active NPI

Nicole Bovigny, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Santa Clarita, CA
National Provider Identifier
1144198896
Registry record updated Aug 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95037192 Issued in CA
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

Updated by the provider on Aug 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260529002269 CA Practitioner - Nurse Practitioner 3779053863 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
95037192CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ehab Yacoub MD Inc. CurrentSince May 14, 2026 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.

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

Verify at the official NPI Registry.