Maria Victoria Aquino
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · La Palma, CA
NPI 1881484467 · NPPES record last updated May 8, 2025
Key facts
- NPI
- 1881484467
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- NP95034212 (CA)
- Practice address
- 7811 Jennifer Cir
La Palma, CA 90623-1644 - Phone
- (310) 808-7985
- NPI assigned
- May 8, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ehab Yacoub MD Inc
Practice addresses (Care Compare)
1225 W 190TH St
Suite 280
Gardena, CA 90248-4305
Phone (877) 515-8113
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251001003493 | CA | Practitioner - Nurse Practitioner | 4486150182 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP95034212 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ehab Yacoub MD Inc. | Current |
Accepting new patients |
Locations
500 La Terraza Blvd
Ste 150
Escondido, CA 92025
Phone (760) 232-6788
1225 W 190th St
Ste 280
Gardena, CA 90248
Phone (310) 515-8113
17075 Devonshire St
Ste 204
Northridge, CA 91325
Phone (818) 368-8929
901 W Civic Center Dr
Fl 2
Santa Ana, CA 92703
Phone (951) 216-3549
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NP95034212 | CA | Yes |
Addresses
Primary practice location
7811 Jennifer Cir
La Palma, CA 90623-1644
Mailing address
7811 Jennifer Cir
La Palma, CA 90623-1644
Other providers in La Palma, CA
- American Current Care of California, a Medical Corporation
- Bayaske Ladi Amerina
- Jonathan Jose Anaya
- Sheila M Anderson
- William James Angione
- Anahi Arellano
- Briceida Arellano
- Kaitlyn Armstrong
- Enida Arnautalic
- Jennifer Marie Arnold
All providers in La Palma, CA · Psychiatric/Mental Health Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.