Michael Seyoum Wendimu

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

95018710 Issued in CA

Practice address

3130 Sawtelle Blvd Apt # 206
Los Angeles, CA 90066

Phone

(310) 628-5498

NPI assigned

Oct 6, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1326700477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 SAWTELLE BLVD APT # 206",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90066",
            "telephone_number": "310-628-5498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 SAWTELLE BLVD APT # 206",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90066",
            "telephone_number": "310-628-5498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENDIMU",
        "first_name": "MICHAEL",
        "middle_name": "SEYOUM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-06",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95018710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Wenceslao
• Danielle Marie Wencl
• Isadore Wendel, PH.D.
• Shirley Victoria Wendell, N.P.
• Bradley Ray Wenderoth, PHARM.D.
• Aaron Richard Wendt, DPM
• Kimberly Anne Wendt, M.S., C.G.C.
• Wendy Gerrish Wellness
• Shelsea Elisaeth Wenell
• Elyse Yihsin Weng, PHARM.D.

• Primary Care Nurse Practitioner in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.

Verify at the official NPI Registry.