Active NPI
Nicholas Robert Webb, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- San Pedro, CA
National Provider Identifier
1467636738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 322222
- Practice address
- 4034 S Pacific Ave Apt 15
San Pedro, CA 90731-7144 - Phone
- (310) 507-3834
- NPI assigned
- Dec 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 322222 | AZ | Primary |
Addresses
Primary practice location
4034 S Pacific Ave Apt 15
San Pedro, CA 90731-7144
Mailing address
1426 Plaza de Oro
Benicia, CA 94510-2437
Phone (310) 982-5686
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 322222 | AZ | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lex Mente, a Professional Nursing Corporation | Single Specialty | Current | Accepting new patients |
| Lex Mente a Professional Nursing Corporation | Single Specialty | Current | Accepting new patients |
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 and National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Benicia, CA
- NPI 1215821731
Single Specialty
-
- Psychiatric/Mental Health Nurse Practitioner
- Benicia, CA
- NPI 1053285650
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747008000000",
"number": "1467636738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1426 PLAZA DE ORO",
"city": "BENICIA",
"state": "CA",
"postal_code": "945102437",
"telephone_number": "310-982-5686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4034 S PACIFIC AVE APT 15",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907317144",
"telephone_number": "310-507-3834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBB",
"first_name": "NICHOLAS",
"middle_name": "ROBERT",
"credential": "PMHNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-21",
"last_updated": "2025-05-12",
"certification_date": "2025-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AZ",
"license": "322222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Pedro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.