Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SOCAL MIND AND BODY, PC
NPI 1033067400
Nurse Practitioner - Psychiatric/Mental Health in Garden Grove, CA

Q: What is Socal Mind And Body, PC's NPI number?

The NPI number for Socal Mind And Body, PC is 1033067400. It was assigned to this organization in the NPPES registry on March 20, 2026.

Q: What is Socal Mind And Body, PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since March 20, 2026

12555 GARDEN GROVE BLVD STE 408, GARDEN GROVE, CA 92843(714) 948-5003(714) 408-1179 Get Directions Write a Review

NPPES record last updated: October 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Socal Mind And Body, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOCAL MIND AND BODY, PC (NPI 1033067400) is a healthcare organization registered as a psychiatric/mental health in Garden Grove, California and active in the NPI registry since March 2026. The organization lists Todd Tracy Ignat, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1033067400

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameSOCAL MIND AND BODY, PC

Location Address12555 GARDEN GROVE BLVD STE 408Garden Grove, CA 92843-1904

Mailing Address127 Iron HorseIrvine, CA 92602-1826 · (720) 697-4025 · Fax (949) 694-2696

Phone(714) 948-5003

Fax(714) 408-1179

Organization SubpartNo

Authorized OfficialTodd Tracy IgnatClinical Director · (720) 697-4025

Enumeration DateMarch 20, 2026

Last NPPES UpdateOctober 20, 2026

NPPES CertifiedOctober 20, 2026

✔ NPI 1033067400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

12555 GARDEN GROVE BLVD STE 408, Garden Grove, CA 92843

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TAE RYANG RHEE M.D.

Specialist

12555 GARDEN GROVE BLVD STE 408
GARDEN GROVE, CA 92843

Orange County (714) 530-1010

TODD IGNAT NP

Nurse Practitioner (Psychiatric/Mental Health)

12555 GARDEN GROVE BLVD STE 408
GARDEN GROVE, CA 92843

Orange County (714) 948-5003

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Socal Mind And Body, PC's NPI number?

The NPI number for Socal Mind And Body, PC is 1033067400. It was assigned to this organization in the NPPES registry on March 20, 2026.

Where is Socal Mind And Body, PC located?

Socal Mind And Body, PC is located at 12555 Garden Grove Blvd Ste 408, Garden Grove, CA 92843. The listed phone number is (714) 948-5003.

What is Socal Mind And Body, PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Socal Mind And Body, PC was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.