Healthcare Provider Details

I. General information

NPI: 1356269047
Provider Name (Legal Business Name): SANCH GERALD ARAGONES SY BSN, MSN, PMHNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9712 PINE ORCHARD ST
PACOIMA CA
91331-6905
US

IV. Provider business mailing address

14570 FOX ST UNIT 5
MISSION HILLS CA
91345-1835
US

V. Phone/Fax

Practice location:
  • Phone: 818-425-4165
  • Fax:
Mailing address:
  • Phone: 818-425-4165
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95246450
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: