Individual provider Active NPI

Nmesomachi Nwoko

  • Behavior Technician
  • Gardena, CA
National Provider Identifier
1043045438
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
879 W 190TH St Ste 1000
Gardena, CA 90248-4255
Phone
(310) 329-9115
Fax
(877) 394-6799
NPI assigned
Sep 4, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

879 W 190TH St Ste 1000
Gardena, CA 90248-4255

Mailing address

2711 W 129TH St
Gardena, CA 90249-1504
Phone (323) 407-4563

Other practice location 1

1771 E Flamingo Rd Ste 220A
Las Vegas, NV 89119-0850
Phone (800) 394-7195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1043045438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 W 129TH ST",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902491504",
            "telephone_number": "323-407-4563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "879 W 190TH ST STE 1000",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902484255",
            "telephone_number": "310-329-9115",
            "fax_number": "877-394-6799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1771 E Flamingo Rd Ste 220A",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891190850",
            "country_code": "US",
            "telephone_number": "800-394-7195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NWOKO",
        "first_name": "NMESOMACHI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-04",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.