Active NPI
Aegis Mental Health Nurse Practitioner & Nursing, Apc
- Psychiatric/Mental Health Nurse Practitioner
- Inglewood, CA
National Provider Identifier
1740152545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- AEGIS MENTAL HEALTH NURSE PRACTITIONER & NURSING, APC
- Practice address
- 9533 S 4TH Ave
Inglewood, CA 90305-3005 - Phone
- (602) 465-9675
- Fax
- (602) 465-9675
- NPI assigned
- Sep 22, 2025
- Last updated
- Sep 22, 2025
- 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
- Ms. Claudine Blaise, PMHNP
- Title
- President
- Phone
- (602) 465-9675
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
9533 S 4TH Ave
Inglewood, CA 90305-3005
Mailing address
9533 S 4TH Ave
Inglewood, CA 90305-3005
Phone (602) 465-9675
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Seal Beach, CA
- NPI 1063995447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758499200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758499200000",
"number": "1740152545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9533 S 4TH AVE",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903053005",
"telephone_number": "602-465-9675",
"fax_number": "602-465-9675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9533 S 4TH AVE",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903053005",
"telephone_number": "602-465-9675",
"fax_number": "602-465-9675"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AEGIS MENTAL HEALTH NURSE PRACTITIONER & NURSING, APC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-22",
"last_updated": "2025-09-22",
"certification_date": "2025-09-21",
"status": "A",
"authorized_official_last_name": "BLAISE",
"authorized_official_first_name": "CLAUDINE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "602-465-9675",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "PMHNP"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Inglewood, CA
- Advanced Lung Center Medical Group Inc.
- Advanced Medical Supply
- Advanced Prosthetics Inc.
- Advanced Vascular & Endovascular Associates
- Advanced Wound Care Group
- Aegis Treatment Centers, LLC
- Aegis Treatment Centers, LLC
- Aericks Medical Clinic Inc (Aericks Healthcare Clinic)
- Paul K Agorsah, RN
- Carolina Benita Aguero, O.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.