Individual provider Active NPI

Cory Michael Hougardy, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • North Hills, CA
National Provider Identifier
1427890771
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95030163 Issued in CA
Practice address
9655 Sepulveda Blvd
North Hills, CA 91343-3307
Phone
(872) 231-3162
Fax
(702) 977-1496
NPI assigned
Jun 8, 2024
Last updated
Nov 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 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 95030163 CA Primary

Addresses

Primary practice location

9655 Sepulveda Blvd
North Hills, CA 91343-3307

Mailing address

PO Box 7410882
Chicago, IL 60674-0884
Phone (702) 889-0595

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
I20240625003837 CA Practitioner - Nurse Practitioner 1951845452 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrative Sports and Spine IncGroup PAC ID 7012230212, 24 clinicians
Del Sur HealthcareGroup PAC ID 1850827395, 61 clinicians

Practice addresses (Care Compare)

230 E Adams Blvd
Los Angeles, CA 90011-1426
Phone (562) 997-2172

436 S Magnolia Ave
Suite 101
El Cajon, CA 92020-5219
Phone (760) 978-8596

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95030163CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Rehab Consultants California Inc CurrentSince Nov 1, 2025 Accepting new patients
West Coast Health and Rehab PC CurrentSince Nov 1, 2025 Accepting new patients
Integrative Sports and Spine Inc CurrentSince Feb 1, 2026 Accepting new patients
California Care Wellness Medical Center Inc. CurrentSince Jun 1, 2024 Accepting new patients
Geri Connection CurrentSince Jun 1, 2024 Accepting new patients
Bay View Health Solutions CurrentSince Mar 3, 2025 Accepting new patients
Myndfull Care Management California PC CurrentSince Jun 1, 2024 Accepting new patients
Del Sur Healthcare CurrentSince Nov 1, 2024 Accepting new patients
Myndfull Care California PC CurrentSince Jun 1, 2024 Accepting new patients

Locations

1999 S Bascom Ave
Ste 700
Campbell, CA 95008
Phone (760) 978-8596

436 S Magnolia Ave
Ste 101
El Cajon, CA 92020
Phone (760) 978-8596

9440 Citrus Ave
Fontana, CA 92335
Phone (909) 823-3481

230 E Adams Blvd
Los Angeles, CA 90011
Phone (213) 748-0491

2415 S Western Ave
Los Angeles, CA 90018
Phone (323) 434-1101

2415 S Western Ave
#1182
Los Angeles, CA 90018

5225 S J St
Oxnard, CA 93033
Phone (805) 488-3696

7716 W Manchester Ave
Playa del Rey, CA 90293
Phone (310) 823-4694

15644 Pomerado Rd
Ste 202
Poway, CA 92064
Phone (619) 320-8090

3688 Nye Ave
Riverside, CA 92505
Phone (951) 351-2800

6280 Jackson Dr
Ste 8
San Diego, CA 92119
Phone (619) 464-1607

8445 Camino Santa Fe
Ste 215
San Diego, CA 92121
Phone (619) 541-3246

9655 Sepulveda Blvd
Sepulveda, CA 91343
Phone (818) 892-8665

8647 Fenwick St
Sunland, CA 91040
Phone (818) 352-1421

250 Fairview Rd
Thousand Oaks, CA 91361
Phone (707) 964-6333

93 W Avenida de los Arboles
Thousand Oaks, CA 91360
Phone (805) 492-2444

1224 Rossmoor Pkwy
Walnut Creek, CA 94595
Phone (925) 937-7450

20554 Roscoe Blvd
Winnetka, CA 91306
Phone (818) 341-9800

9436 W Lake Mead Blvd
Ste 5
Las Vegas, NV 89134
Phone (760) 978-8596

Organizations & group practices 9

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": "1717804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1427890771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7410882",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606740884",
            "telephone_number": "702-889-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9655 SEPULVEDA BLVD",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913433307",
            "telephone_number": "872-231-3162",
            "fax_number": "702-977-1496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUGARDY",
        "first_name": "CORY",
        "middle_name": "MICHAEL",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-08",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95030163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hills, CA

Sources for this page

Verify at the official NPI Registry.