Individual provider Active NPI

Denis Wadzani, FNP-C, MPH

  • Family Nurse Practitioner
  • Culver City, CA
National Provider Identifier
1386177129
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95006189 Issued in CA
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

Updated by the provider on May 19, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200421001932 CA Practitioner - Nurse Practitioner 0749610467 Reassigns benefits to 3 organizations

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
The Roads Foundation, IncGroup PAC ID 2961722558, 57 clinicians
Uptimum Medical Group and Ipa IncGroup PAC ID 4183993637, 4 clinicians

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

LicenseStateTypeSpecialty
95061349CAMDRegistered Nurse
550753CAMDCommunity Health Registered Nurse
95006189CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Luther King Jr Community Medical Foundation Family CurrentSince May 1, 2023 Accepting new patients
Uptimum Medical Group and Ipa Inc CurrentSince Feb 8, 2020 Accepting new patients
The Roads Foundation, Inc. CurrentSince Aug 2, 2021 Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince May 1, 2023 Accepting new patients
The Achievable Foundation CurrentSince May 25, 2025 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.