Active NPI
Miken Health Services
- Psychiatric/Mental Health Nurse Practitioner
- Gardena, CA
National Provider Identifier
1689530818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- MIKEN HEALTH SERVICES
- Practice address
- 879 W 190TH St Ste 400
Gardena, CA 90248-4223 - Phone
- (094) 501-8348
- NPI assigned
- Dec 31, 2025
- 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
- Ebere Assumpta Nwosu
- Title
- Authorised Official
- Phone
- (094) 501-8348
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
879 W 190TH St Ste 400
Gardena, CA 90248-4223
Mailing address
439 E 224TH St
Carson, CA 90745-3945
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Los Angeles, CA
- NPI 1518540053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767139200000",
"number": "1689530818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "439 E 224TH ST",
"city": "CARSON",
"state": "CA",
"postal_code": "907453945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "879 W 190TH ST STE 400",
"city": "GARDENA",
"state": "CA",
"postal_code": "902484223",
"telephone_number": "094-501-8348"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIKEN HEALTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-31",
"last_updated": "2025-12-31",
"certification_date": "2025-12-31",
"status": "A",
"authorized_official_last_name": "NWOSU",
"authorized_official_first_name": "EBERE",
"authorized_official_middle_name": "ASSUMPTA",
"authorized_official_title_or_position": "AUTHORISED OFFICIAL",
"authorized_official_telephone_number": "094-501-8348"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; 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.