Organization Active NPI

Nonno Wellness Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Redondo Beach, CA
National Provider Identifier
1164233565
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
NONNO WELLNESS CENTER LLC
Practice address
2501 Artesia Blvd BLDG 203205
Redondo Beach, CA 90278-3273
Phone
(310) 807-1550
NPI assigned
Jan 15, 2025
Last updated
Jan 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Authorized official

Name
Jonathon Joseph Neily
Title
Ceo
Phone
(310) 666-5521

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

2501 Artesia Blvd BLDG 203205
Redondo Beach, CA 90278-3273

Mailing address

2501 Artesia Blvd BLDG 203205
Redondo Beach, CA 90278-3273
Phone (310) 666-5521

National Provider Directory

National Provider Directory

Locations

2501 Artesia Blvd
Bldg 203205
Redondo Beach, CA 90278
Phone (310) 807-1550

NPI Registry JSON

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

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1164233565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 ARTESIA BLVD BLDG 203205",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902783273",
            "telephone_number": "310-666-5521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 ARTESIA BLVD BLDG 203205",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902783273",
            "telephone_number": "310-807-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NONNO WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "NEILY",
        "authorized_official_first_name": "JONATHON",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-666-5521"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.