Organization Active NPI

My Friend'S a Nurse, PC

  • Home Health Agency
  • Simi Valley, CA
National Provider Identifier
1720815574
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MY FRIEND'S A NURSE, PC
Practice address
2045 Royal Ave Ste 105
Simi Valley, CA 93065-4666
Phone
(818) 919-0152
NPI assigned
Sep 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Authorized official

Name
Mrs. Colette Wagholikar, RNNPI 1164365805
Title
Registered Nurse
Phone
(818) 919-0152

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WH0200X
Home Health Agency 251E00000X Primary
PACE Provider Organization 251T00000X

Addresses

Primary practice location

2045 Royal Ave Ste 105
Simi Valley, CA 93065-4666

Mailing address

2045 Royal Ave Ste 105
Simi Valley, CA 93065-4666
Phone (805) 657-2507

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@myfriendsanurse.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

2045 Royal Ave
Ste 105
Simi Valley, CA 93065
Phone (818) 919-0152

Interoperability endpoints

  • Direct secure messaging: info@myfriendsanurse.com

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775692800000",
    "number": "1720815574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 ROYAL AVE STE 105",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930654666",
            "telephone_number": "805-657-2507",
            "fax_number": "805-209-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 ROYAL AVE STE 105",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930654666",
            "telephone_number": "818-919-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY FRIEND'S A NURSE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-16",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A",
        "authorized_official_last_name": "WAGHOLIKAR",
        "authorized_official_first_name": "COLETTE",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "818-919-0152",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@myfriendsanurse.com",
            "affiliation": "N",
            "endpointDescription": "direct protected email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2045 Royal Ave Ste 105",
            "city": "Simi Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930654666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; 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.