Claro Mark Orilla Mabazza, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95017626 Issued in CA

Practice address

9847 Cedar St Apt 2
Bellflower, CA 90706-6963

Phone

(562) 286-6588

NPI assigned

Jun 23, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jason Kellogg MD IncGroup PAC ID 9032266127, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Huntington Beach Hospital Hospital, Huntington Beach, CA, CCN 050526

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Jason Kellogg M.D. Inc

  • Psychiatry Physician
  • Newport Beach, CA
  • NPI 1235391624
  Medicare reassignment Care Compare group NPD
• Mark David Levine M.D. Professional Corporation

  • Psychiatry Physician
  • Sacramento, CA
  • NPI 1154697944

  Psychiatric/Mental Health

  NPD (past)
• Mark David Levine, MD Burlingame PC

  • Psychiatry Physician
  • San Mateo, CA
  • NPI 1770709263
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Prime Healthcare Huntington Beach, LLC

  • General Acute Care Hospital
  • Huntington Beach, CA
  • NPI 1083622120
  Care Compare affiliation

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1326617358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9847 CEDAR ST APT 2",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907066963",
            "telephone_number": "562-286-6588",
            "fax_number": "562-451-4496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9847 CEDAR ST APT 2",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907066963",
            "telephone_number": "562-286-6588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABAZZA",
        "first_name": "CLARO MARK",
        "middle_name": "ORILLA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-23",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95017626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nam Viet Ly, O.D.
• Tracy Ly, PHARMD
• Andrew Hee Young Lymn, DDS
• Billie Lynch, CADC-II CA
• M & L Brothers Pharmacy Inc
• Sonia Sablad Macariola, MSN, RNC
• Deborah Lynn Macheski, MSW LCSW BCD
• Leonardo Machuca Jr.
• Margaret Lynn Maes
• Marcus D. Magallanes, MD

• Psychiatric/Mental Health Nurse Practitioner in Bellflower, CA
• Providers in Bellflower, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.

Verify at the official NPI Registry.