Active NPI
J Paul Gatdula, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Newport Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95025054
- Practice address
- 2618 San Miguel Dr # 2151
Newport Beach, CA 92660-5437 - Phone
- (949) 996-8342
- Fax
- (949) 996-8038
- NPI assigned
- May 4, 2023
- Last updated
- Aug 21, 2026
- Sex
- Male
- Sole proprietor
- No
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 | 95025054 | CA | Primary |
Addresses
Primary practice location
2618 San Miguel Dr # 2151
Newport Beach, CA 92660-5437
Mailing address
2618 San Miguel Dr # 2151
Newport Beach, CA 92660-5437
Phone (949) 996-8342
Other practice location 1
1000 Quail St Ste 200
Newport Beach, CA 92660-2767
Phone (714) 369-8052
Other practice location 2
1225 W 190th St Ste 280
Gardena, CA 90248-4305
Phone (877) 515-8113
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ehab Yacoub MD Inc. | Current | Accepting new patients | |
| North Star Psychiatry, a Professional Nursing Corporation | Psychiatric/Mental Health | Past | Accepting new patients |
Locations
1225 W 190th St
Ste 280
Gardena, CA 90248
Phone (310) 515-8113
17075 Devonshire St
Ste 204
Northridge, CA 91325
Phone (818) 368-8929
14541 Delano St
Van Nuys, CA 91411
Phone (310) 515-8113
Organizations & group practices 2
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.
-
dba Brain Health USA
- Child & Adolescent Psychiatry Physician
- Gardena, CA
- NPI 1417373713
-
- Psychiatric/Mental Health Nurse Practitioner
- Fountain Valley, CA
- NPI 1306751755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787270400000",
"number": "1225727258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2618 SAN MIGUEL DR # 2151",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926605437",
"telephone_number": "949-996-8342",
"fax_number": "949-996-8038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2618 SAN MIGUEL DR # 2151",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926605437",
"telephone_number": "949-996-8342",
"fax_number": "949-996-8038"
}
],
"practiceLocations": [
{
"address_1": "1000 Quail St Ste 200",
"address_purpose": "LOCATION",
"city": "Newport Beach",
"state": "CA",
"postal_code": "926602767",
"country_code": "US",
"telephone_number": "714-369-8052",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1225 W 190th St Ste 280",
"address_purpose": "LOCATION",
"city": "Gardena",
"state": "CA",
"postal_code": "902484305",
"country_code": "US",
"telephone_number": "877-515-8113",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GATDULA",
"first_name": "J PAUL",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-04",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95025054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
- Ana Victoria Garza
- Maria Garza
- Gerin Gaskin
- Gastroenterology Alliance of Newport, a Medical Partnership
- Gastrointestinal & Liver Diseases of Newport, a Medical Corporation
- Gatsinaris Chiropractic Inc (next level wellness center)
- Vasilis John Gatsinaris, D.C.
- Mia Gatti
- Steven Hayden Gausewitz, M.D.
- Bao-Hieu Pauline Gauvreau
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.