Active NPI
Mary Ann Pimentel Loyola, NP
- Family Nurse Practitioner
- Chula Vista, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95011408
- Practice address
- 2060 Otay Lakes Rd Ste 220
Chula Vista, CA 91913-1364 - Phone
- (619) 949-8804
- NPI assigned
- Mar 22, 2019
- Last updated
- Oct 30, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95011408 | CA | Primary |
| Nurse Practitioner | 363L00000X | 95011408 | CA |
Addresses
Primary practice location
2060 Otay Lakes Rd Ste 220
Chula Vista, CA 91913-1364
Mailing address
9373 Hazard Way Ste 200
San Diego, CA 92123-1226
Phone (858) 810-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95011408 | Other | CA | LICENSE |
Other names 1
- Mary Ann Pimentel
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
300 Continental Blvd
Suite 635
El Segundo, CA 90245-5040
Phone (310) 658-3775
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95011408 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Good Health PC, Inc. | Current | Accepting new patients | |
| Advanced Practice Nursing Care & Wellness | Current | Accepting new patients | |
| Villagehealth DM LLC | Current | Accepting new patients | |
| Greater Good Health PC, Inc. | Nurse Practitioner | Current | Accepting new patients |
Locations
6090 W Ramsey St
Banning, CA 92220
Phone (818) 707-7834
1309 E Carson St
Carson, CA 90745
Phone (310) 513-1427
4445 Riverside Dr
Chino, CA 91710
Phone (760) 202-3491
2060 Otay Lakes Rd
Ste 220
Chula Vista, CA 91913
Phone (619) 397-5001
300 Continental Blvd
Ste 635
El Segundo, CA 90245
Phone (310) 658-3775
601 Hawaii St
El Segundo, CA 90245
Phone (310) 536-2400
883 Patriot Dr
Ste C
Moorpark, CA 93021
Phone (760) 743-4401
146 S Main St
Orange, CA 92868
Phone (714) 938-0870
320 James Way
Ste 110
Pismo Beach, CA 93449
Phone (626) 232-3929
292 Euclid Ave
Ste 100
San Diego, CA 92114
Phone (619) 262-7225
2000 16th St
Denver, CO 80202
Phone (253) 733-4500
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 4
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.
-
- Nurse Practitioner
- El Segundo, CA
- NPI 1821673005
-
- Primary Care Clinic/Center
- Chula Vista, CA
- NPI 1588371884
-
- Primary Care Clinic/Center
- Ammon, ID
- NPI 1033095914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761782400000",
"number": "1881154037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9373 HAZARD WAY STE 200",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231226",
"telephone_number": "858-810-8000",
"fax_number": "858-268-1911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2060 OTAY LAKES RD STE 220",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919131364",
"telephone_number": "619-949-8804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOYOLA",
"first_name": "MARY ANN",
"middle_name": "PIMENTEL",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-22",
"last_updated": "2025-10-30",
"certification_date": "2025-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95011408",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95011408",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "95011408",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARY ANN",
"last_name": "PIMENTEL",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; 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.