Individual provider Active NPI

Moorea Pugliese, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Marina del Rey, CA
National Provider Identifier
1972195386
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95028680 Issued in CA
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

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240202001665 CA Practitioner - Nurse Practitioner 0840643128 Reassigns benefits to 6 organizations

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
Ehab Yacoub MD IncGroup PAC ID 5092099523, 179 clinicians
Pacific Coast Psychiatric Associates IncGroup PAC ID 2567469174, 637 clinicians
Mood Clinical, P. C.Group PAC ID 4981080769, 107 clinicians

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

OrganizationSpecialtyStatusNew patients
Geri Connection CurrentSince Jan 1, 2024 Accepting new patients
Flatow Medical Corporation Apc CurrentSince Jan 15, 2025 Accepting new patients
Ehab Yacoub MD Inc. CurrentSince Jul 9, 2025 Accepting new patients
Myndfull Care California PC CurrentSince Feb 11, 2024 Accepting new patients
California Care Wellness Medical Center Inc. CurrentSince Jan 1, 2024 Accepting new patients
Myndfull Care Management California PC CurrentSince Jan 1, 2024 Accepting new patients
Pacific Coast Psychiatric Associates Inc CurrentSince Nov 7, 2025 Accepting new patients
Mood Clinical, P. C. Psychiatric/Mental Health CurrentSince Jun 2, 2024 Accepting new patients
Glenn Medical Center, LLC PastSince Jun 2, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.