Organization Active NPI

Nicole Ward, a Professional Corporation

  • Student in an Organized Health Care Education/Training Program
  • Monterey Park, CA
National Provider Identifier
1366189938
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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

Authorized official

Name
Nicole Kendall Ward, DONPI 1366972564
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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.