Active NPI
Radiant Wellness & Recovery, a Professional Nursing Corporation
- Psychiatric/Mental Health Nurse Practitioner
- Sacramento, CA
National Provider Identifier
1689543027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- RADIANT WELLNESS & RECOVERY, A PROFESSIONAL NURSING CORPORATION
- Practice address
- 4500 47TH Ave Ste 5a
Sacramento, CA 95824-3847 - Phone
- (916) 230-9768
- NPI assigned
- Nov 3, 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
- Herman Ndungu, PMHNP-BC
- Title
- Owner / Incorporator
- Phone
- (916) 230-9768
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
4500 47TH Ave Ste 5a
Sacramento, CA 95824-3847
Mailing address
2108 N St Ste N
Sacramento, CA 95816-5712
Phone (916) 230-9768
National Provider Directory
National Provider DirectoryLocations
4500 47th Ave
Ste 5A
Sacramento, CA 95824
Phone (916) 230-9768
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Abingdon, MD
- NPI 1992345714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762128000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762128000000",
"number": "1689543027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2108 N ST STE N",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958165712",
"telephone_number": "916-230-9768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 47TH AVE STE 5A",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958243847",
"telephone_number": "916-230-9768"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RADIANT WELLNESS & RECOVERY, A PROFESSIONAL NURSING CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-03",
"last_updated": "2025-11-03",
"certification_date": "2025-11-03",
"status": "A",
"authorized_official_last_name": "NDUNGU",
"authorized_official_first_name": "HERMAN",
"authorized_official_title_or_position": "OWNER / INCORPORATOR",
"authorized_official_telephone_number": "916-230-9768",
"authorized_official_credential": "PMHNP-BC"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
- Mathew Raczko, LVN
- Naseem Rad, MD
- Nadia Radchenko, PA
- Meghann Radcliff, PHARMD
- Tamika Radcliffe
- Radical and Tender Care Companion LLC
- Radical Hope Center for Psychotherapy, a Clinical Psychology and Licen
- Radically Connected
- Faiza Rading, M.D.
- Radiological Associates Medical Group Inc (Sacramento Clinic Hematology and Medical Oncology)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.