MARIA DELIA DEJARME FORTUNATO PMHNP-BC
NPI 1174234983
Nurse Practitioner - Psychiatric/Mental Health in Los Angeles, CA
About Maria Delia Dejarme Fortunato Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARIA DELIA DEJARME FORTUNATO PMHNP-BC (NPI 1174234983) is an individual psychiatric/mental health provider in Los Angeles, California, licensed in California (95023985) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Maria Delia Dejarme Fortunato Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90011 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90011
LOS ANGELES, CA 90011
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 Maria Delia Fortunato's NPI number?
The NPI number for Maria Delia Fortunato is 1174234983. It was assigned to this individual provider in the NPPES registry on December 13, 2022.
Where is Maria Delia Fortunato located?
Maria Delia Fortunato practices at 4211 Avalon Blvd, Los Angeles, CA 90011. The listed phone number is (323) 233-0425.
What is Maria Delia Fortunato's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Maria Delia Fortunato enrolled in Medicare?
Yes. Maria Delia Fortunato is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Maria Delia Fortunato was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# Maria Delia Dejarme Fortunato, PMHNP-BC · NPI 1174234983
Psychiatric/Mental Health physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since December 13, 2022.
## Identity
- **NPI:** 1174234983 (Entity type: Individual)
- **Enumerated:** December 13, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 95023985 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4211 AVALON BLVD, Los Angeles, CA 90011-5622
- **Phone:** (323) 233-0425
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** October 8, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1174234983) · Data from the CMS NPPES public registry.