Individual provider Active NPI

Addie Claire Gonwa Ramonda

  • Psychiatric/Mental Health Nurse Practitioner
  • Aliso Viejo, CA
National Provider Identifier
1437988946
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95031090 Issued in CA
Practice address
200 Freedom LN
Aliso Viejo, CA 92656-5876
Phone
(949) 900-8600
NPI assigned
Aug 1, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95031090 CA Primary

Addresses

Primary practice location

200 Freedom LN
Aliso Viejo, CA 92656-5876

Mailing address

200 Freedom LN
Aliso Viejo, CA 92656-5876
Phone (949) 900-8600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1161 E Covina Blvd
Covina, CA 91724-1523
Phone (909) 279-1740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cyrus Nasserian MD Cesar Cruz MD Sambin Wang DO and Zaheib Idrees D CurrentSince Mar 6, 2025 Accepting new patients

Locations

200 Freedom Ln
Aliso Viejo, CA 92656
Phone (213) 928-2194

1441 Michigan Ave
Beaumont, CA 92223
Phone (951) 769-2500

1161 E Covina Blvd
Covina, CA 91724
Phone (626) 859-5289

800 E 5th St
Ontario, CA 91764
Phone (909) 984-1620

11878 Avenue of Industry
San Diego, CA 92128
Phone (619) 736-7421

801 Seneca St
Ventura, CA 93001
Phone (805) 504-6814

Organizations & group practices 1

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": "1722470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1437988946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 FREEDOM LN",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926565876",
            "telephone_number": "949-900-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 FREEDOM LN",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926565876",
            "telephone_number": "949-900-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONWA RAMONDA",
        "first_name": "ADDIE",
        "middle_name": "CLAIRE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-01",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95031090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aliso Viejo, CA

Sources for this page

Verify at the official NPI Registry.