Organization Active NPI

Pathway to Mental Wellness a Nursing Corporation

  • Psychiatric/Mental Health Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1174402028
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
PATHWAY TO MENTAL WELLNESS A NURSING CORPORATION
Practice address
835 Wilshire Blvd FL 5
Los Angeles, CA 90017-2603
Phone
(315) 547-0502
NPI assigned
Aug 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Authorized official

Name
Chinyere IwuagwuNPI 1023755006
Title
Owner
Phone
(315) 547-0502

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)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

835 Wilshire Blvd FL 5
Los Angeles, CA 90017-2603

Mailing address

835 Wilshire Blvd FL 5
Los Angeles, CA 90017-2603
Phone (315) 547-0502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251110003379 CA Part B Supplier - Clinic/Group Practice 3779073416 Receives reassigned benefits from 1 practitioner
Practice locations: Carson, CA

National Provider Directory

National Provider Directory

Locations

835 Wilshire Blvd
Fl 5
Los Angeles, CA 90017
Phone (213) 232-4876

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1756252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778803200000",
    "number": "1174402028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 WILSHIRE BLVD FL 5",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900172603",
            "telephone_number": "315-547-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 WILSHIRE BLVD FL 5",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900172603",
            "telephone_number": "315-547-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAY TO MENTAL WELLNESS A NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-27",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A",
        "authorized_official_last_name": "IWUAGWU",
        "authorized_official_first_name": "CHINYERE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-547-0502"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/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 May 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.