Individual provider Active NPI

Victoria Esso Gago, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Encino, CA
National Provider Identifier
1548989965
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95022401 Issued in CA
Practice address
16260 Ventura Blvd Ste 630
Encino, CA 91436-2255
Phone
(747) 264-9201
Fax
(818) 337-7494
NPI assigned
Aug 29, 2022
Last updated
Dec 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 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 95022401 CA Primary

Addresses

Primary practice location

16260 Ventura Blvd Ste 630
Encino, CA 91436-2255

Mailing address

5521 Boden St
Los Angeles, CA 90016-3201

Other practice location 1

5521 Boden St
Los Angeles, CA 90016-3201
Phone (323) 495-2676

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
I20221128000219 CA Practitioner - Nurse Practitioner 6507234473 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alliance for Wellness IncGroup PAC ID 9931355617, 58 clinicians
Alliance Wellness CareGroup PAC ID 8628421724, 6 clinicians

Practice addresses (Care Compare)

14850 Roscoe Blvd
Panorama City, CA 91402-4618
Phone (818) 787-2222

23388 Mulholland Dr
Woodland Hills, CA 91364-2733
Phone (747) 264-9202

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95022401CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance for Wellness, Inc. Psychiatric/Mental Health CurrentSince Nov 15, 2023 Accepting new patients
Health Alliance Socal, Inc CurrentSince Sep 12, 2023 Accepting new patients
Mellow Medical Inc a Professional Corporation CurrentSince Nov 10, 2022 Accepting new patients
Victoriously Made Wellness and Nursing PastSince Sep 1, 2022 Accepting new patients
VP Anesthesia Partners, Inc PastSince Jan 29, 2023 Accepting new patients
Tamika Henry MD Inc PastSince Jan 7, 2025 Accepting new patients
Rise TMS Medical Corporation Past Accepting new patients

Locations

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

2355 23rd St
Eureka, CA 95501
Phone (747) 998-0387

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

12301 Wilshire Blvd
Ste 512
Los Angeles, CA 90025
Phone (888) 284-2779

1300 N Vermont Ave
Los Angeles, CA 90027
Phone (213) 413-3000

9250 Reseda Blvd
Ste 658
Northridge, CA 91324

5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182

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

8235 Santa Monica Blvd
Ste 302
West Hollywood, CA 90046
Phone (310) 892-4284

23388 Mulholland Dr
Woodland Hls, CA 91364
Phone (818) 876-1050

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9357/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1548989965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5521 BODEN ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900163201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16260 VENTURA BLVD STE 630",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362255",
            "telephone_number": "747-264-9201",
            "fax_number": "818-337-7494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5521 Boden St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900163201",
            "country_code": "US",
            "telephone_number": "323-495-2676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAGO",
        "first_name": "VICTORIA",
        "middle_name": "ESSO",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95022401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.