Kenya Wigington

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

NA Issued in CA

Practice address

900 E Wardlow Rd
Long Beach, CA 90807-4630

Phone

(562) 595-8111

NPI assigned

Feb 12, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Bayfront Youth & Family Services

  • Community/Behavioral Health Agency
  • Long Beach, CA
  • NPI 1508296443
  NPD (past)

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

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1053126375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 W HILLSDALE ST",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903021122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E WARDLOW RD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908074630",
            "telephone_number": "562-595-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGINGTON",
        "first_name": "KENYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lateefh Wielenga, PSYCHOLOGIST
• Ariel Melea Troi Wiggins
• Maurice Anthony Wiggins, M.D.
• Susan Wiggins, LAC, PHD
• Stephen Andrew Wigginton, M.D.
• Timothy Michael Wiher
• Marta E Wild, MD
• Sara Wilde
• Elizabeth Wildermuth
• Kimberly Wiley, DMD

• Student in an Organized Health Care Education/Training Program in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.