Active NPI
Wellness Bridge Nursing Corporation
- Psychiatric/Mental Health Nurse Practitioner
- Temecula, CA
National Provider Identifier
1073328316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- WELLNESS BRIDGE NURSING CORPORATION
- Practice address
- 43537 Ridge Park Dr Ste 100
Temecula, CA 92590-3613 - Phone
- (951) 595-7391
- NPI assigned
- Feb 12, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Betzy Njoki-Mwangi
- Title
- Ceo
- Phone
- (909) 633-7302
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
43537 Ridge Park Dr Ste 100
Temecula, CA 92590-3613
Mailing address
27816 Whittington Rd
Menifee, CA 92584-7890
Phone (909) 633-7302
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235649757 | Medicaid | CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Nurse
- Menifee, CA
- NPI 1235649757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739318400000",
"number": "1073328316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27816 WHITTINGTON RD",
"city": "MENIFEE",
"state": "CA",
"postal_code": "925847890",
"telephone_number": "909-633-7302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43537 RIDGE PARK DR STE 100",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925903613",
"telephone_number": "951-595-7391"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLNESS BRIDGE NURSING CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-12",
"last_updated": "2025-02-12",
"certification_date": "2025-02-12",
"status": "A",
"authorized_official_last_name": "NJOKI-MWANGI",
"authorized_official_first_name": "BETZY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "909-633-7302"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1235649757",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.