Active NPI
Moorea Pugliese, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Marina del Rey, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95028680
- Practice address
- 13160 Mindanao Way Ste 213
Marina del Rey, CA 90292-6358 - Phone
- (925) 282-1778
- NPI assigned
- Feb 7, 2021
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95028680 | CA | Primary |
| Registered Nurse | 163W00000X | 95104307 | CA |
Addresses
Primary practice location
13160 Mindanao Way Ste 213
Marina del Rey, CA 90292-6358
Mailing address
13160 Mindanao Way Ste 213
Marina del Rey, CA 90292-6358
Phone (925) 282-1778
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, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1225 W 190TH St
Suite 280
Gardena, CA 90248-4305
Phone (877) 515-8113
13160 Mindanao Way
Suite 213
Marina del Rey, CA 90292-6358
Phone (925) 282-1778
18191 Von Karman Ave
Suite 100
Irvine, CA 92612-7103
Phone (619) 639-9730
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geri Connection | Current | Accepting new patients | |
| Flatow Medical Corporation Apc | Current | Accepting new patients | |
| Ehab Yacoub MD Inc. | Current | Accepting new patients | |
| Myndfull Care California PC | Current | Accepting new patients | |
| California Care Wellness Medical Center Inc. | Current | Accepting new patients | |
| Myndfull Care Management California PC | Current | Accepting new patients | |
| Pacific Coast Psychiatric Associates Inc | Current | Accepting new patients | |
| Mood Clinical, P. C. | Psychiatric/Mental Health | Current | Accepting new patients |
| Glenn Medical Center, LLC | Past | Accepting new patients |
Locations
1320 Willow Pass Rd
Ste 600
Concord, CA 94520
Phone (925) 434-4858
1225 W 190th St
Ste 280
Gardena, CA 90248
Phone (310) 515-8113
18191 Von Karman Ave
Ste 100
Irvine, CA 92612
Phone (530) 889-7293
320 Pine Ave
Ste 609
Long Beach, CA 90802
Phone (310) 571-5041
6200 Wilshire Blvd
Ste 1410
Los Angeles, CA 90048
Phone (323) 403-0474
13160 Mindanao Way
Ste 213
Marina del Rey, CA 90292
17075 Devonshire St
Ste 204
Northridge, CA 91325
Phone (818) 368-8929
15644 Pomerado Rd
Ste 202
Poway, CA 92064
Phone (619) 320-8090
6280 Jackson Dr
Ste 8
San Diego, CA 92119
Phone (619) 464-1607
8445 Camino Santa Fe
Ste 215
San Diego, CA 92121
Phone (619) 541-3246
9436 W Lake Mead Blvd
Ste 5
Las Vegas, NV 89134
Phone (702) 328-7648
Interoperability endpoints
- lifestancehealth.mooreapugliese@148377.advancedmd-direct.com
Organizations & group practices 9
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.
-
- Child & Adolescent Psychiatry Physician
- Gardena, CA
- NPI 1417373713
-
- Adult Mental Health Clinic/Center
- Santa Ana, CA
- NPI 1922675644
Psychiatric/Mental Health
-
- Family Medicine Physician
- Poway, CA
- NPI 1447976907
-
- Internal Medicine Physician
- San Diego, CA
- NPI 1912699703
-
- Clinic/Center
- San Diego, CA
- NPI 1770206435
-
- Internal Medicine Physician
- San Diego, CA
- NPI 1447874516
-
- Psychiatry Physician
- Torrance, CA
- NPI 1659970333
-
- Critical Access Hospital
- Willows, CA
- NPI 1619929759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762387200000",
"number": "1972195386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13160 MINDANAO WAY STE 213",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902926358",
"telephone_number": "925-282-1778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13160 MINDANAO WAY STE 213",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902926358",
"telephone_number": "925-282-1778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUGLIESE",
"first_name": "MOOREA",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-07",
"last_updated": "2025-11-06",
"certification_date": "2025-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95028680",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95104307",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marina del Rey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.