Individual provider Active NPI

Mary Ann Pimentel Loyola, NP

  • Family Nurse Practitioner
  • Chula Vista, CA
National Provider Identifier
1881154037
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95011408 Issued in CA
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
95011408OtherCALICENSE

Other names 1

  • Mary Ann Pimentel Former name

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
I20190614002548 CA Practitioner - Nurse Practitioner 0244563708 Reassigns benefits to 2 organizations

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
Greater Good Health PC IncGroup PAC ID 5294106027, 48 clinicians

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

LicenseStateTypeSpecialty
95011408CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Good Health PC, Inc. CurrentSince Jul 28, 2025 Accepting new patients
Advanced Practice Nursing Care & Wellness Current Accepting new patients
Villagehealth DM LLC CurrentSince Jun 1, 2025 Accepting new patients
Greater Good Health PC, Inc. Nurse Practitioner CurrentSince Jul 28, 2025 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.