Active NPI
Novascend Neurowellness, a Professional Nursing Corporation
- Adult Mental Health Clinic/Center
- Los Angeles, CA
National Provider Identifier
1124959143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- NOVASCEND NEUROWELLNESS, A PROFESSIONAL NURSING CORPORATION
- Practice address
- 11845 W Olympic Blvd Ste 1250W
Los Angeles, CA 90064-1149 - Phone
- (424) 373-6435
- Fax
- (424) 799-0083
- NPI assigned
- May 27, 2026
- 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
- John Christopher Eugenio, MSN, PMHNP-BC, CCM
- Title
- Owner/Pmhnp-BC
- Phone
- (424) 373-6435
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 |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
11845 W Olympic Blvd Ste 1250W
Los Angeles, CA 90064-1149
Mailing address
11845 W Olympic Blvd Ste 1250W
Los Angeles, CA 90064-1149
Phone (424) 373-6435
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Los Angeles, CA
- NPI 1225969249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784160000000",
"number": "1124959143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11845 W OLYMPIC BLVD STE 1250W",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900641149",
"telephone_number": "424-373-6435",
"fax_number": "424-799-0083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11845 W OLYMPIC BLVD STE 1250W",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900641149",
"telephone_number": "424-373-6435",
"fax_number": "424-799-0083"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOVASCEND NEUROWELLNESS, A PROFESSIONAL NURSING CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-27",
"last_updated": "2026-07-16",
"certification_date": "2026-07-16",
"status": "A",
"authorized_official_last_name": "EUGENIO",
"authorized_official_first_name": "JOHN CHRISTOPHER",
"authorized_official_title_or_position": "OWNER/PMHNP-BC",
"authorized_official_telephone_number": "424-373-6435",
"authorized_official_credential": "MSN, PMHNP-BC, CCM"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.