Individual provider Active NPI

Nicole Kendall Ward, DO

  • Internal Medicine Physician
  • Monterey Park, CA
National Provider Identifier
1366972564
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
18553 Issued in CA
Practice address
2063 S Atlantic Blvd Ste 300
Monterey Park, CA 91754-6366
Phone
(818) 806-8830
Fax
(818) 536-7695
NPI assigned
Jun 20, 2017
Last updated
Dec 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 18553 CA Primary

Addresses

Primary practice location

2063 S Atlantic Blvd Ste 300
Monterey Park, CA 91754-6366

Mailing address

2629 Foothill Blvd # 305
La Crescenta, CA 91214-3511
Phone (310) 948-3987

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220711003390 CA Practitioner - RheumatologyPractitioner - Internal Medicine 6507246410 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
18553CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Arthritis and Osteoporosis Medical Center, Inc CurrentSince Sep 10, 2024 Accepting new patients

Locations

5451 La Palma Ave
Ste 25
La Palma, CA 90623
Phone (714) 670-1340

2063 S Atlantic Blvd
Ste 300
Monterey Park, CA 91754
Phone (323) 796-0170

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.70041

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1366972564",
    "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": "310-948-3987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2063 S ATLANTIC BLVD STE 300",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917546366",
            "telephone_number": "818-806-8830",
            "fax_number": "818-536-7695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "NICOLE",
        "middle_name": "KENDALL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-20",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "18553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

Verify at the official NPI Registry.