1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Nurse Practitioner
  6. NPI Profile

MARIA DELIA DEJARME FORTUNATO PMHNP-BC
NPI 1174234983
Nurse Practitioner - Psychiatric/Mental Health in Los Angeles, CA

Active since December 13, 2022PECOS EnrolledAccepts Medicare Assignment
4211 AVALON BLVD, LOS ANGELES, CA 90011(323) 233-0425 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 8, 2025, Mar 22, 2023, Dec 13, 2022 (3 updates tracked since 2022).

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

NPI1174234983
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMARIA DELIA DEJARME FORTUNATOCredential: PMHNP-BC
Location Address4211 AVALON BLVDLos Angeles, CA 90011-5622
Mailing Address2041 East St Unit 805Concord, CA 94520-2126 · (213) 377-0012 · Fax (213) 377-0044
Phone(323) 233-0425
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 13, 2022
Last NPPES UpdateOctober 8, 20253 updates tracked since enumeration
NPPES CertifiedOctober 8, 2025
✔ NPI 1174234983 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
Licenses✔ Licensed in CA · 95023985✔ Licensed in NV · 861500
4211 AVALON BLVD, Los Angeles, CA 90011
Open in Google Maps ↗

Secondary Practice Location 1

Location 1355 S Grand Ave Ste 2450Los Angeles, CA 90071-9500 · Phone (213) 377-0012 ext. 70012 · Fax (213) 377-0044

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

PECOS PAC ID749644987
PECOS Enrollment IDI20231002001603
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Maria Delia Fortunato reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Thrive Psychological Services Inc
40 mi
Mental Health (Including Community Mental Health Center)
3333 CONCOURS BLDG 8
Ontario, CA 91764
  • Reassigned Medicare billing, California enrollment
  • 27 clinicians in this Medicare group
NPI 1528640026 (909) 295-5805
Grow Healthcare Group PC
307 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385
Sud Specialty Group - Ca
313 mi
Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 clinicians in this Medicare group
NPI 1972138238 (323) 205-7088

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ANGEL MARTIN
Registered Nurse
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 432-5185
MICHELLE OUATTARA
Occupational Therapist (Mental Health)
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 432-5080
ALEXANDER JERROD BLACK ACSW
Social Worker (Clinical)
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 233-0425
BRIANNA FONSECA
Social Worker
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 233-0425
JESSE VELAZQUEZ
Social Worker
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 233-0425
DR. KIERSTEN TAYLOR PHARMD
Pharmacist (Psychiatric)
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 233-0425
NNEKA PATRICIA NJOKU
Nurse Practitioner (Psychiatric/Mental Health)
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 233-0425
DR. YVORN ASWAD MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 582-2251

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.

Which organizations bill Medicare for Maria Delia Fortunato's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maria Delia Fortunato reassigns Medicare benefits to 3 organizations: Thrive Psychological Services Inc (Ontario, CA), Grow Healthcare Group PC (San Jose, CA) and Sud Specialty Group - Ca (Santa Clara, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Maria Delia Fortunato's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 12 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.