Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

SIGNATURE MINDCARE MEDICAL CORPORATION
NPI 1114849502
Nurse Practitioner - Psychiatric/Mental Health in Montrose, CA

Active since July 28, 2026
2283 WALTONIA DR, MONTROSE, CA 91020(323) 849-3309 Get Directions Write a Review

NPPES record added: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Signature Mindcare Medical Corporation NPPES

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

SIGNATURE MINDCARE MEDICAL CORPORATION (NPI 1114849502) is a healthcare organization registered as a psychiatric/mental health in Montrose, California and active in the NPI registry since July 2026. The organization lists La Crystal Fuller, Owner, as its authorized official.

NPPES Registry Identity

NPI1114849502
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSIGNATURE MINDCARE MEDICAL CORPORATION
Location Address2283 WALTONIA DRMontrose, CA 91020-1261
Mailing Address2283 Waltonia DrMontrose, CA 91020-1261
Organization SubpartNo
Authorized OfficialLa Crystal FullerOwner · (315) 547-0502
Enumeration DateJuly 28, 2026
NPPES CertifiedJuly 28, 2026
NPI 1114849502 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
2283 WALTONIA DR, Montrose, CA 91020

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Psychiatric/Mental Health)
2283 WALTONIA DR
MONTROSE, CA 91020

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 Signature Mindcare Medical Corporation's NPI number?

The NPI number for Signature Mindcare Medical Corporation is 1114849502. It was assigned to this organization in the NPPES registry on July 28, 2026.

Where is Signature Mindcare Medical Corporation located?

Signature Mindcare Medical Corporation is located at 2283 Waltonia Dr, Montrose, CA 91020. The listed phone number is (323) 849-3309.

What is Signature Mindcare Medical Corporation'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 Signature Mindcare Medical Corporation was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.