Newblkwalstreet

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

NEWBLKWALSTREET

Practice address

1052 E Brenner Dr
Carson, CA 90746-2407

Phone

(562) 305-9143

NPI assigned

Nov 22, 2025

Organization subpart

No

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

Authorized official

Name

Germaine Hagan

Title

Owner

Phone

(562) 305-9143

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1763769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763769600000",
    "number": "1679434138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1052 E BRENNER DR",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907462407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1052 E BRENNER DR",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907462407",
            "telephone_number": "562-305-9143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWBLKWALSTREET",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-22",
        "last_updated": "2025-11-22",
        "certification_date": "2025-11-22",
        "status": "A",
        "authorized_official_last_name": "HAGAN",
        "authorized_official_first_name": "GERMAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-305-9143"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lilian Nkiru Ndukwe, MSN, FNP
• Mario Neely
• Teresa Alcantar Nelson, L.C.S.W.
• Jerell Nero
• New Villa, LLC
• Chelsea Janet Newman
• Brian A Nguyen, A.T.C., C.S.C.S.
• Dick Duy Nguyen, PHARMD, BCPS
• Jaubin Dinh Nguyen, DMD
• Quang Cuu Nguyen, RPH

• Community/Behavioral Health Agency in Carson, CA
• Providers in Carson, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.

Verify at the official NPI Registry.