Active NPI
Gina Rico Psychiatric Nursing Services Corp
- Psychiatric/Mental Health Nurse Practitioner
- Glendora, CA
National Provider Identifier
1285402172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- GINA RICO PSYCHIATRIC NURSING SERVICES CORP
- Practice address
- 415 W Route 66 Ste 202
Glendora, CA 91740-4335 - Phone
- (626) 261-3091
- NPI assigned
- Dec 19, 2023
- 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
- Dr. Regina Rico, PMHNP-BC
- Title
- President
- Phone
- (626) 261-3091
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
415 W Route 66 Ste 202
Glendora, CA 91740-4335
Mailing address
415 W Route 66 Ste 202
Glendora, CA 91740-4335
Phone (626) 261-3091
Other practice location 1
2705 S Diamond Bar Blvd Ste 238
Diamond Bar, CA 91765-3554
Phone (626) 261-3091
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702944000000",
"number": "1285402172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 W ROUTE 66 STE 202",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917404335",
"telephone_number": "626-261-3091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 W ROUTE 66 STE 202",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917404335",
"telephone_number": "626-261-3091"
}
],
"practiceLocations": [
{
"address_1": "2705 S Diamond Bar Blvd Ste 238",
"address_purpose": "LOCATION",
"city": "Diamond Bar",
"state": "CA",
"postal_code": "917653554",
"country_code": "US",
"telephone_number": "626-261-3091",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GINA RICO PSYCHIATRIC NURSING SERVICES CORP",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-19",
"last_updated": "2023-12-19",
"certification_date": "2023-12-19",
"status": "A",
"authorized_official_last_name": "RICO",
"authorized_official_first_name": "REGINA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "626-261-3091",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PMHNP-BC"
},
"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 Glendora, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.