MR. JASON B LARICK PMHNP
NPI 1356190193
Nurse Practitioner - Psychiatric/Mental Health in Glendora, CA
About Mr. Jason B Larick Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JASON B LARICK PMHNP (NPI 1356190193) is an individual psychiatric/mental health provider in Glendora, California, licensed in California (95030298) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
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
Mr. Jason B Larick Pmhnp 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 91740 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.
GLENDORA, CA 91740
GLENDORA, CA 91740
GLENDORA, CA 91740
GLENDORA, CA 91740
GLENDORA, CA 91740
GLENDORA, CA 91740
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 Jason Larick's NPI number?
The NPI number for Jason Larick is 1356190193. It was assigned to this individual provider in the NPPES registry on May 15, 2024.
Where is Jason Larick located?
Jason Larick practices at 415 W Route 66 Ste 202, Glendora, CA 91740. The listed phone number is (626) 963-4467.
What is Jason Larick's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Jason Larick enrolled in Medicare?
Yes. Jason Larick 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.
What insurance does Jason Larick accept?
Health plans from Providence Health Plan list Jason Larick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jason Larick was last updated on November 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Mr. Jason B Larick, PMHNP · NPI 1356190193
Psychiatric/Mental Health physician in Glendora, California. Individual provider, active in the CMS NPPES registry since May 15, 2024.
## Identity
- **NPI:** 1356190193 (Entity type: Individual)
- **Enumerated:** May 15, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 95030298 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 415 W ROUTE 66 STE 202, Glendora, CA 91740-4335
- **Phone:** (626) 963-4467
## 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 2024
## Record status
- **NPPES last updated:** November 1, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1356190193) · Data from the CMS NPPES public registry.