Individual provider Active NPI

Jedida Nyawira Wanyoike

  • Registered Nurse
  • West Covina, CA
National Provider Identifier
1134843188
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
95409780 Issued in CA
Practice address
1530 Glacier Way
West Covina, CA 91791-4326
Phone
(281) 760-8297
NPI assigned
Oct 3, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1095395 TX
Family Nurse Practitioner 363LF0000X NP95034356 CA
Registered Nurse 163W00000X 95409780 CA Primary

Addresses

Primary practice location

1530 Glacier Way
West Covina, CA 91791-4326

Mailing address

1530 Glacier Way
West Covina, CA 91791-4326

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230216000383 TX Practitioner - Nurse Practitioner 5698147841 Reassigns benefits to 4 organizations
I20250827003396 CA Practitioner - Nurse Practitioner 5698147841 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Exer Medical CorporationGroup PAC ID 9032359534, 336 clinicians
Carehealth Medical CorporationGroup PAC ID 8426556762, 6 clinicians

Practice addresses (Care Compare)

1365 S Grand Ave
Glendora, CA 91740-5047
Phone (626) 385-1456

215 N Allen Ave
Pasadena, CA 91106-1601
Phone (626) 817-9002

26777 Agoura Rd
Suite B4
Calabasas, CA 91302-2967
Phone (818) 880-2225

420 W Rowland St
Suite 101
Covina, CA 91723-2943
Phone (626) 412-2614

600 S Lake Ave
Suite 105
Pasadena, CA 91106-3955
Phone (626) 844-8848

797 S Fair Oaks Ave
Suite 100
Pasadena, CA 91105-2617
Phone (626) 385-1455

8345 Pine Ave
Suite 140
Chino, CA 91708-9638
Phone (313) 320-5918

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95409780CAMDRegistered Nurse
NP95034356CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nluc PLLC CurrentSince Nov 28, 2022 Accepting new patients
Exer Medical Corporation CurrentSince Jul 1, 2025 Accepting new patients
Nluc PLLC CurrentSince Nov 28, 2022 Accepting new patients
Next Level MV LLC Current Accepting new patients
Doctors Express of the Beaumont Area PA CurrentSince Apr 11, 2024 Accepting new patients
Emergency Hospital Systems LLC CurrentSince Apr 6, 2024 Accepting new patients
Carehealth Medical Corporation CurrentSince Feb 12, 2026 Accepting new patients
Nluc PLLC Current Accepting new patients
Southlake Doctors Express, PA PSC Current Accepting new patients
Next Level MV LLC CurrentSince Nov 28, 2022 Accepting new patients
Doctors Express of the Temple Area, PA Past Accepting new patients

Locations (25 of 26)

26777 Agoura Rd
Ste 4
Calabasas, CA 91302
Phone (818) 880-2225

8345 Pine Ave
Ste 140
Chino, CA 91708
Phone (313) 320-5918

235 E 17th St
Costa Mesa, CA 92627
Phone (949) 688-2010

2381 Rosecrans Ave
Ste 115
El Segundo, CA 90245
Phone (213) 335-7355

7000 Boulder Ave
Ste 103
Highland, CA 92346
Phone (515) 441-6271

25548 The Old Rd
Ste U1
Stevenson Ranch, CA 91381
Phone (661) 556-9020

701 N Wendy Dr
Thousand Oaks, CA 91320
Phone (805) 375-4400

2613 Pacific Coast Hwy
Torrance, CA 90505
Phone (424) 229-0832

596 E Stacy Rd
Allen, TX 75002
Phone (469) 898-0199

6600 S Mopac Expy
Ste 2180
Austin, TX 78749
Phone (512) 522-3010

7710 Garth Rd
Ste A
Baytown, TX 77521

8831 N Highway 146
Baytown, TX 77523
Phone (281) 533-8354

3195 Dowlen Rd
Ste 105
Beaumont, TX 77706
Phone (409) 860-1888

1246 N FM 3083 Rd W
Ste B
Conroe, TX 77304

6340 N Eldridge Pkwy
Ste O
Houston, TX 77041
Phone (346) 385-9181

5568 Weslayan St
Houston, TX 77005
Phone (713) 666-7050

5718 Westheimer Rd
Ste 1800
Houston, TX 77057

8901 FM 1960 Bypass Rd W
Ste 105
Humble, TX 77338
Phone (281) 592-5400

6445 FM 1463 Rd
Ste 230
Katy, TX 77494
Phone (281) 990-6890

8850 Spencer Hwy
La Porte, TX 77571
Phone (281) 946-9980

1921 W League City Pkwy
Ste 130
League City, TX 77573
Phone (281) 937-2590

8325 Broadway St
Ste 220
Pearland, TX 77581
Phone (281) 873-8162

4724 Lakeview Pkwy
Ste 300
Rowlett, TX 75088
Phone (469) 947-6240

2315 E Southlake Blvd
Ste 110
Southlake, TX 76092
Phone (817) 488-9922

5211 FM 2920 Rd
Ste 101
Spring, TX 77388

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1134843188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 GLACIER WAY",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917914326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 GLACIER WAY",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917914326",
            "telephone_number": "281-760-8297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANYOIKE",
        "first_name": "JEDIDA",
        "middle_name": "NYAWIRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-03",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1095395",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95034356",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95409780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

Verify at the official NPI Registry.