Active NPI
Pamoja Advanced Nursing Practice Inc
- Psychiatric/Mental Health Clinical Nurse Specialist
- Anaheim, CA
National Provider Identifier
1447801097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Clinical Nurse Specialist
- Legal business name
- PAMOJA ADVANCED NURSING PRACTICE INC
- Practice address
- 3400 W Ball Rd Ste 100B
Anaheim, CA 92804-3735 - Phone
- (144) 844-9007
- Fax
- (714) 484-4903
- NPI assigned
- Sep 25, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mumbi Ngunjiri, NP
- Title
- NP
- Phone
- (909) 702-5650
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | Primary |
Addresses
Primary practice location
3400 W Ball Rd Ste 100B
Anaheim, CA 92804-3735
Mailing address
13215 Sunbird Dr
Moreno Valley, CA 92553-5649
Phone (909) 702-5650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
710 N Euclid St
Ste 208
Anaheim, CA 92801
Phone (714) 484-4900
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Pasadena, CA
- NPI 1235267006
-
- Psychiatric/Mental Health Nurse Practitioner
- Beaumont, CA
- NPI 1467095224
-
- Psychiatric/Mental Health Nurse Practitioner
- Manhattan Beach, CA
- NPI 1023754314
-
- Psychiatry Physician
- Orange, CA
- NPI 1558685859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569369600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1583107200000",
"number": "1447801097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13215 SUNBIRD DR",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925535649",
"telephone_number": "909-702-5650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 W BALL RD STE 100B",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928043735",
"telephone_number": "144-844-9007",
"fax_number": "714-484-4903"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAMOJA ADVANCED NURSING PRACTICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-25",
"last_updated": "2020-03-02",
"certification_date": "2020-03-02",
"status": "A",
"authorized_official_last_name": "NGUNJIRI",
"authorized_official_first_name": "MUMBI",
"authorized_official_title_or_position": "NP",
"authorized_official_telephone_number": "909-702-5650",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "364SP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.