Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Jason B Larick, PMHNP

Individual provider Registered Nurse · NPI 1356190193

Mr. Jason B Larick, PMHNP is a Nurse Practitioner in Glendora, California. Qualified in 2024, 2 years ago. Practices with Inland Psychiatric Medical Group Inc, a 121-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2024
Specialties on file
2
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

415 W Route 66 Ste 202
Glendora, CA 91740-4335
Phone: (626) 963-4467
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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 95030298 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 663326 (CA)

Record details

NPI number1356190193
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP
Sole proprietorYes
NPI enumeratedMay 15, 2024
Last updated in NPPESNovember 1, 2024
Certification dateNovember 1, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Inland Psychiatric Medical Group Inc — 121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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