Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Katrina Joyce Pacheco Ang, FNP-C

Individual provider Family Nurse Practitioner · NPI 1497455760

Katrina Joyce Pacheco Ang, FNP-C is a Nurse Practitioner in Marina del Rey, California. Qualified in 2022, 4 years ago. Practices with Azhar Muttalib M D a Professional Corporation, a 2-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2023
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

4640 Admiralty Way Ste 500
Marina del Rey, CA 90292-6636
Phone: (888) 880-3451
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95023421 (CA)

Record details

NPI number1497455760
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedMarch 6, 2023
Last updated in NPPESMarch 6, 2023
Certification dateMarch 6, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Azhar Muttalib M D A Professional Corporation — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Marina del Rey