Ngawina Veronica Komen

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA57871 Issued in CA

Practice address

1139 E Ocean Blvd Unit 109
Long Beach, CA 90802-5659

Phone

(575) 202-2626

NPI assigned

Oct 10, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ngawina Chisala Former name

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

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family and Wound Care SolutionsGroup PAC ID 8123541463, 4 clinicians

Exer Medical CorporationGroup PAC ID 9032359534, 336 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

92.74

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Exer Medical Corporation

  • Urgent Care Clinic/Center
  • Calabasas, CA
  • NPI 1588901532
  Medicare reassignment Care Compare group
• Family and Wound Care Solutions

  • Family Nurse Practitioner
  • Tarzana, CA
  • NPI 1689482416
  Medicare reassignment Care Compare group
• Grossman Medical Group Inc

  • Plastic and Reconstructive Surgery Physician
  • West Hills, CA
  • NPI 1518916311
  Medicare reassignment
• Sherman Oaks Emergency Medical Associates

  • Emergency Medicine Physician
  • Sherman Oaks, CA
  • NPI 1518904150
  Medicare reassignment
• Bakersfield Memorial Hospital

  • Institutional Pharmacy
  • Bakersfield, CA
  • NPI 1144256363
  NPD (past)
• West Hills Hospital

  • General Acute Care Hospital
  • West Hills, CA
  • NPI 1023065729
  NPD (past)

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1124660295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1139 E OCEAN BLVD UNIT 109",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908025659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 E OCEAN BLVD UNIT 109",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908025659",
            "telephone_number": "575-202-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMEN",
        "first_name": "NGAWINA",
        "middle_name": "VERONICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-10",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA57871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NGAWINA",
            "last_name": "CHISALA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Olufemi Kolawole
• Kelly Kolkmeyer
• Sheri Koller, LCSW
• Ekaterina Kolpakova
• Kosal Kom, D.D.S.
• Anna Elizabeth Komperda, M.S
• Amy K. Komure, MD
• Darissa S Kon, MD
• Leanne Mayumi Kon, M.D.
• Jiri Konecny, DO

• Physician Assistant in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.