Paulina Marta Nowicka

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

95033879 Issued in CA

Practice address

10930 Wicks St
Shadow Hills, CA 91040-1363

Phone

(818) 322-5074

NPI assigned

Oct 7, 2025

Last updated

Oct 7, 2025By the provider in NPPES

Sex

Female

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

Enrolled in CA

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 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Optimum Wound Care Inc

  • Surgery Physician
  • Woodland Hills, CA
  • NPI 1578217451
  Medicare reassignment

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

{
    "created_epoch": "1759795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1326913690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10930 WICKS ST",
            "city": "SHADOW HILLS",
            "state": "CA",
            "postal_code": "910401363",
            "telephone_number": "818-322-5074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10930 WICKS ST",
            "city": "SHADOW HILLS",
            "state": "CA",
            "postal_code": "910401363",
            "telephone_number": "818-322-5074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWICKA",
        "first_name": "PAULINA",
        "middle_name": "MARTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-07",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95033879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inner Harmony Therapy, a Professional Licensed Clinical Social Worker Corporation (Inner Harmony Therapy)
• Island Garden Assisted Living
• Bonnie Fraser Lemus, NP
• Maslow Najera Inc.
• Elizabeth R Maslow, M.D.
• Vivian Pan
• Tree House Youth Homes Inc
• Tree House Youth Homes Inc

• Gerontology Nurse Practitioner in Shadow Hills, CA
• Providers in Shadow Hills, CA by specialty
• Gerontology Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.