Individual provider Active NPI

Rosa Maria Aguero, DNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Whittier, CA
National Provider Identifier
1215534888
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
787372 Issued in CA
Practice address
13751 Terrace PL
Whittier, CA 90601-3850
Phone
(562) 968-1255
NPI assigned
Oct 6, 2020
Last updated
Jan 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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 787372 CA Primary

Addresses

Primary practice location

13751 Terrace PL
Whittier, CA 90601-3850

Mailing address

13751 Terrace PL
Whittier, CA 90601-3850
Phone (562) 968-1255

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
I20211118002049 CA Practitioner - Nurse Practitioner 7517356207 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ehab Yacoub MD IncGroup PAC ID 5092099523, 179 clinicians

Practice addresses (Care Compare)

11801 Pierce St
Suite 200
Riverside, CA 92505-4400
Phone (877) 515-8113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mission City Community Network, Inc. CurrentSince Nov 22, 2021 Accepting new patients
Alliance for Wellness, Inc. Psychiatric/Mental Health CurrentSince Sep 1, 2021 Accepting new patients
Ehab Yacoub MD Inc. CurrentSince Oct 10, 2022 Accepting new patients
Mission City Community Network, Inc. Current Accepting new patients
Mission City Community Network, Inc. CurrentSince Nov 22, 2021 Accepting new patients
Tranquility Mental Health Group Inc CurrentSince Jan 19, 2025 Accepting new patients

Locations

16260 Ventura Blvd
Ste 630
Encino, CA 91436
Phone (747) 264-9201

1225 W 190th St
Ste 280
Gardena, CA 90248
Phone (310) 515-8113

501 E Hardy St
Ste 425
Inglewood, CA 90301
Phone (310) 419-4303

17075 Devonshire St
Ste 204
Northridge, CA 91325
Phone (818) 368-8929

9250 Reseda Blvd
Ste 658
Northridge, CA 91324

11801 Pierce St
Ste 200
Riverside, CA 92505
Phone (323) 547-2662

15206 Parthenia St
Sepulveda, CA 91343

14850 Roscoe Blvd
Van Nuys, CA 91402
Phone (818) 787-2222

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1215534888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13751 TERRACE PL",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906013850",
            "telephone_number": "562-968-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13751 TERRACE PL",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906013850",
            "telephone_number": "562-968-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUERO",
        "first_name": "ROSA",
        "middle_name": "MARIA",
        "credential": "DNP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-06",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "787372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.