MEDICARE: AURORA MENTAL HEALTH NURSING, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1710829221
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AURORA MENTAL HEALTH NURSING, PC

Provider Business Mailing Address
First Line	:	2167 BOWDOIN ST
Second Line	:
City	:	CORONA
State	:	CA
Zip	:	92878-5474
Country	:	US
Telephone Number	:	949-406-9411
Fax Number	:	949-844-8414

Provider Business Practice Location Address
First Line	:	2167 BOWDOIN ST
Second Line	:
City	:	CORONA
State	:	CA
Zip	:	92878-5474
Country	:	US
Telephone Number	:	949-406-9411
Fax Number	:	949-200-1169

Authorized Official
Title or Position	:	OWNER/PROVIDER
Name	:	AIMY JAKINI
Credential	:	PMHNP-BC
Telephone Number	:	949-406-9411

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	05/22/2026

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