Individual provider Active NPI

June Wambui Mwangi, NP

  • Family Nurse Practitioner
  • Lancaster, CA
National Provider Identifier
1497360184
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2018012194 Issued in CA
Practice address
1821 Kaylyn St
Lancaster, CA 93535-2970
Phone
(562) 277-6323
NPI assigned
Sep 10, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2018012194 CA Primary

Addresses

Primary practice location

1821 Kaylyn St
Lancaster, CA 93535-2970

Mailing address

1821 Kaylyn St
Lancaster, CA 93535-2970
Phone (562) 277-6323

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL LANCASTER

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
I20211020000580 CA Practitioner - Nurse Practitioner 0749678027 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2018012194CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Care CurrentSince Oct 9, 2024 Accepting new patients
Fervour Group Homes LLC Current Accepting new patients
Central Health Plan of California, Inc. CurrentSince Oct 9, 2024 Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

Organizations & group practices 4

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": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1497360184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 KAYLYN ST",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935352970",
            "telephone_number": "562-277-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 KAYLYN ST",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935352970",
            "telephone_number": "562-277-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MWANGI",
        "first_name": "JUNE",
        "middle_name": "WAMBUI",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-10",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "2018012194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "LANCASTER",
            "affiliation": "N",
            "address_1": "1821 Kaylyn St",
            "city": "Lancaster",
            "state": "CA",
            "country_code": "US",
            "postal_code": "935352970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.