Active NPI
Mary B Dickens, N.P.
- Women's Health Nurse Practitioner
- Northridge, CA
National Provider Identifier
1821085374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 424528
- Practice address
- 18460 Roscoe Blvd
Northridge, CA 91325-4107 - Phone
- (818) 734-3620
- NPI assigned
- Sep 30, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 424528 | CA | Primary |
Addresses
Primary practice location
18460 Roscoe Blvd
Northridge, CA 91325-4107
Mailing address
959 Westbluff PL
Simi Valley, CA 93065-4021
Phone (808) 306-1699
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 424528 | CA | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Facey Medical Foundation | Past | Accepting new patients | |
| Providence Facey Medical Foundation | Past | Accepting new patients | |
| Providence Facey Medical Foundation | Past | Accepting new patients |
Organizations & group practices 3
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.
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- Internal Medicine Physician
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- NPI 1710031588
-
- Multi-Specialty Clinic/Center
- Irvine, CA
- NPI 1891348447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1821085374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "959 WESTBLUFF PL",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930654021",
"telephone_number": "808-306-1699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18460 ROSCOE BLVD",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913254107",
"telephone_number": "818-734-3620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKENS",
"first_name": "MARY",
"middle_name": "B",
"name_prefix": "Mrs.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-30",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "CA",
"license": "424528",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.