Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Claro Mark Orilla Mabazza, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1326617358

Claro Mark Orilla Mabazza, PMHNP-BC is a Nurse Practitioner in Cerritos, California. Qualified in 2020, 6 years ago. Practices with Jason Kellogg MD Inc, an 18-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2021
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

17871 Park Plaza Dr Ste 140
Cerritos, CA 90703-9500
Phone: (855) 427-2778
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95017626 (CA)

Record details

NPI number1326617358
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-BC
Sole proprietorYes
NPI enumeratedJune 23, 2021
Last updated in NPPESDecember 13, 2023
Certification dateDecember 13, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Jason Kellogg Md Inc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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