MJ PROFESSIONAL NURSING CORP
NPI 1871372631
Nurse Practitioner - Psychiatric/Mental Health in Cerritos, CA

Active since September 21, 2023
17777 CENTER COURT DR N, CERRITOS, CA 90703(562) 644-2216 Get Directions Write a Review

NPPES record last updated: September 21, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mj Professional Nursing Corp NPPES

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

MJ PROFESSIONAL NURSING CORP (NPI 1871372631) is a healthcare organization registered as a psychiatric/mental health in Cerritos, California and active in the NPI registry since September 2023. The organization lists Janet Agu, Owner, as its authorized official.

NPPES Registry Identity

NPI1871372631
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMJ PROFESSIONAL NURSING CORP
Location Address17777 CENTER COURT DR NCerritos, CA 90703-9320
Mailing Address17777 Center Court Dr NCerritos, CA 90703-9320 · (562) 644-2216
Organization SubpartNo
Authorized OfficialJanet AguOwner · (562) 644-2216
Enumeration DateSeptember 21, 2023
NPPES CertifiedSeptember 21, 2023
✔ NPI 1871372631 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
17777 CENTER COURT DR N, Cerritos, CA 90703

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mj Professional Nursing Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mj Professional Nursing Corp, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1982983508
7765 LEEDS ST
Downey, CA 90242
(844) 804-1933
✔ PECOS✔ Accepts Medicare6.8 mi

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

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 Mj Professional Nursing Corp's NPI number?

The NPI number for Mj Professional Nursing Corp is 1871372631. It was assigned to this organization in the NPPES registry on September 21, 2023.

Where is Mj Professional Nursing Corp located?

Mj Professional Nursing Corp is located at 17777 Center Court Dr N, Cerritos, CA 90703. The listed phone number is (562) 644-2216.

What is Mj Professional Nursing Corp's specialty?

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

Is Mj Professional Nursing Corp enrolled in Medicare?

Yes. Mj Professional Nursing Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mj Professional Nursing Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Mj Professional Nursing Corp. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mj Professional Nursing Corp was last updated on September 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.