Active NPI
Denis Wadzani, FNP-C, MPH
- Family Nurse Practitioner
- Culver City, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95006189
- Practice address
- 5901 Green Valley Cir Ste 405
Culver City, CA 90230-6971 - Phone
- (424) 266-7474
- Fax
- (310) 596-8268
- NPI assigned
- Apr 8, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95061349 | CA | |
| Community Health Registered Nurse | 163WC1500X | 550753 | CA | |
| Nurse Practitioner | 363L00000X | 95006189 | CA | |
| Primary Care Nurse Practitioner | 363LP2300X | 95006189 | CA | |
| Family Nurse Practitioner | 363LF0000X | 95006189 | CA | Primary |
Addresses
Primary practice location
5901 Green Valley Cir Ste 405
Culver City, CA 90230-6971
Mailing address
100 Corporate Pointe Ste 270
Los Angeles, CA 90230-8735
Phone (424) 266-7472
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
121 S Long Beach Blvd
Compton, CA 90221-3423
Phone (310) 627-5850
2220 W Manchester Blvd
Inglewood, CA 90305-2514
Phone (310) 644-8400
4525 E Atherton St
Long Beach, CA 90815-3700
Phone (562) 961-0155
4800 E Los Coyotes Diagonal
Long Beach, CA 90815-2897
Phone (562) 506-1313
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95061349 | CA | MD | Registered Nurse |
| 550753 | CA | MD | Community Health Registered Nurse |
| 95006189 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martin Luther King Jr Community Medical Foundation | Family | Current | Accepting new patients |
| Uptimum Medical Group and Ipa Inc | Current | Accepting new patients | |
| The Roads Foundation, Inc. | Current | Accepting new patients | |
| Martin Luther King Jr Community Medical Foundation | Current | Accepting new patients | |
| The Achievable Foundation | Current | Accepting new patients | |
| The Roads Foundation, Inc | Past | Accepting new patients |
Locations
121 S Long Beach Blvd
Compton, CA 90221
Phone (310) 627-5850
2215 W Rosecrans Ave
Ste 22
Compton, CA 90222
Phone (424) 529-6755
2220 W Manchester Blvd
Inglewood, CA 90305
Phone (310) 644-8400
4253 Redondo Beach Blvd
Lawndale, CA 90260
Phone (310) 370-5888
4800 E Los Coyotes Diagonal
Long Beach, CA 90815
Phone (310) 627-5850
4525 E Atherton St
Long Beach, CA 90815
Phone (562) 961-0155
12021 Wilmington Ave
Ste 1000
Los Angeles, CA 90059
Phone (424) 296-3976
100 Corporate Pointe
Ste 270
Los Angeles, CA 90230
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BFCDAD
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Inglewood, CA
- NPI 1568649226
-
- Clinic/Center
- Long Beach, CA
- NPI 1669812392
-
- Multi-Specialty Clinic/Center
- Los Angeles, CA
- NPI 1356899777
Family
-
- Radiology Clinic/Center
- Los Angeles, CA
- NPI 1346082294
-
- Federally Qualified Health Center (FQHC)
- Culver City, CA
- NPI 1891593778
-
- Community Health Clinic/Center
- Compton, CA
- NPI 1508278359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747612800000",
"number": "1386177129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 CORPORATE POINTE STE 270",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "902308735",
"telephone_number": "424-266-7472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5901 GREEN VALLEY CIR STE 405",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902306971",
"telephone_number": "424-266-7474",
"fax_number": "310-596-8268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADZANI",
"first_name": "DENIS",
"credential": "FNP-C, MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-08",
"last_updated": "2025-05-19",
"certification_date": "2025-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95061349",
"primary": false
},
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "CA",
"license": "550753",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95006189",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "CA",
"license": "95006189",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95006189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Culver City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.