Active NPI
Heritage Health and Wellness NP Inc
- Nurse Practitioner
- Gardena, CA
National Provider Identifier
1356119903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- HERITAGE HEALTH AND WELLNESS NP INC
- Practice address
- 879 W 190TH St Ste 400
Gardena, CA 90248-4223 - Phone
- (818) 922-7339
- Fax
- (818) 922-7337
- NPI assigned
- Dec 13, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ifeoma Cynthia Aniemeka, MD
- Title
- Nurse Practitioner
- Phone
- (310) 921-0196
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary | ||
| Community Health Nurse Practitioner | 363LC1500X | |||
| Primary Care Nurse Practitioner | 363LP2300X |
Addresses
Primary practice location
879 W 190TH St Ste 400
Gardena, CA 90248-4223
Mailing address
879 W 190TH St Ste 400
Gardena, CA 90248-4223
Phone (818) 922-7339
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740960000000",
"number": "1356119903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "879 W 190TH ST STE 400",
"city": "GARDENA",
"state": "CA",
"postal_code": "902484223",
"telephone_number": "818-922-7339",
"fax_number": "818-922-7337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "879 W 190TH ST STE 400",
"city": "GARDENA",
"state": "CA",
"postal_code": "902484223",
"telephone_number": "818-922-7339",
"fax_number": "818-922-7337"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HERITAGE HEALTH AND WELLNESS NP INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-13",
"last_updated": "2025-03-03",
"certification_date": "2025-03-03",
"status": "A",
"authorized_official_last_name": "ANIEMEKA",
"authorized_official_first_name": "IFEOMA",
"authorized_official_middle_name": "CYNTHIA",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "310-921-0196",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LC1500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Community Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.