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

Mr. Mario Pacheco, NURSEPRACTITIONER

Individual provider Registered Nurse · NPI 1568887669

Mr. Mario Pacheco, NURSEPRACTITIONER is a Nurse Practitioner in Whittier, California. Qualified in 2013, 13 years ago. Practices with Oceanside Medical Group a Medical Corporation, an 18-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
13
Licensed in
CA
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

11012 Loch Avon Dr
Whittier, CA 90606-1530
Phone: (562) 774-5351
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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 95000401 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 570465 (CA)

Record details

NPI number1568887669
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedFebruary 26, 2014
Last updated in NPPESFebruary 26, 2014

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Oceanside Medical Group A Medical Corporation — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Whittier