Active NPI
Nicole Ward, a Professional Corporation
- Student in an Organized Health Care Education/Training Program
- Monterey Park, CA
National Provider Identifier
1366189938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Legal business name
- NICOLE WARD, A PROFESSIONAL CORPORATION
- Practice address
- 2063 S. Atlantic Blvd, Suite 300
Monterey Park, CA 91754 - Phone
- (818) 806-8830
- Fax
- (818) 536-7695
- NPI assigned
- May 16, 2022
- Last updated
- Dec 19, 2025
- 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
- Nicole Kendall Ward, DO
- Title
- Owner
- Phone
- (310) 473-9400
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
2063 S. Atlantic Blvd, Suite 300
Monterey Park, CA 91754
Mailing address
2629 Foothill Blvd # 305
La Crescenta, CA 91214-3511
Phone (818) 806-8830
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Monterey Park, CA
- NPI 1366972564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1766102400000",
"number": "1366189938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2629 FOOTHILL BLVD # 305",
"city": "LA CRESCENTA",
"state": "CA",
"postal_code": "912143511",
"telephone_number": "818-806-8830",
"fax_number": "818-536-7695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2063 S. ATLANTIC BLVD, SUITE 300",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "91754",
"telephone_number": "818-806-8830",
"fax_number": "818-536-7695"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NICOLE WARD, A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-16",
"last_updated": "2025-12-19",
"certification_date": "2025-12-19",
"status": "A",
"authorized_official_last_name": "WARD",
"authorized_official_first_name": "NICOLE",
"authorized_official_middle_name": "KENDALL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "310-473-9400",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monterey Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.