Individual provider Active NPI

Nadia Marcella Seray-Wurie, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1003508607
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95025226 Issued in CA
Practice address
5757 W Century Blvd FL 6
Ste 650R
Los Angeles, CA 90045-6401
Phone
(888) 680-0863
NPI assigned
May 22, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95025226 CA Primary

Addresses

Primary practice location

5757 W Century Blvd FL 6
Ste 650R
Los Angeles, CA 90045-6401

Mailing address

5757 W Century Blvd FL 6
Ste 650R
Los Angeles, CA 90045-6401
Phone (888) 680-0863

Other practice location 1

9811 S Hobart Blvd
Los Angeles, CA 90047-3833
Phone (661) 670-7023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240401003288 CA Practitioner - Nurse Practitioner 0143668814 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5757 W Century Blvd
Suite 650R
Los Angeles, CA 90045-6401
Phone (888) 680-0863

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Angels Mental Health & Wellness Services P.C Psychiatric/Mental Health CurrentSince Nov 2, 2024 Accepting new patients
Lebreoot a Professional Medical Corporation CurrentSince Feb 17, 2024 Accepting new patients

Locations

9171 Wilshire Blvd
Ste 500
Beverly Hills, CA 90210
Phone (310) 331-0058

5757 W Century Blvd
Fl 6
Los Angeles, CA 90045
Phone (310) 908-0979

5757 W Century Blvd
Ste 650R
Los Angeles, CA 90045
Phone (213) 805-6164

5757 W Century Blvd
Ste 650
Los Angeles, CA 90045
Phone (888) 680-0863

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1003508607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5757 W CENTURY BLVD FL 6",
            "address_2": "STE 650R",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900456401",
            "telephone_number": "888-680-0863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 W CENTURY BLVD FL 6",
            "address_2": "STE 650R",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900456401",
            "telephone_number": "888-680-0863"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9811 S Hobart Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900473833",
            "country_code": "US",
            "telephone_number": "661-670-7023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERAY-WURIE",
        "first_name": "NADIA",
        "middle_name": "MARCELLA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-22",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95025226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.