Nancy W Mwania

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

714581 Issued in CA

Practice address

42107 Alexandra Dr
Murrieta, CA 92562-3485

Phone

(949) 295-5345

NPI assigned

Mar 6, 2018

Last updated

Aug 5, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, AZ2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Minghsun Liu, M.D., PC

  dba Woundtech of California

  • Infectious Disease Physician
  • Los Angeles, CA
  • NPI 1518309368
  Medicare reassignment NPD
• Mobileonedocs, LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Scottsdale, AZ
  • NPI 1629424379
  Medicare reassignment NPD
• Active Family Health, PLC

  • Nurse Practitioner
  • Temecula, CA
  • NPI 1285347922
  NPD Authorized official
• Kaizen Group Homes LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Casa Grande, AZ
  • NPI 1881319374
  NPD Authorized official
• Nagasamudra S Ashok MD Inc

  dba San Jacinto Family Urgent Care

  • Internal Medicine Physician
  • San Jacinto, CA
  • NPI 1477647386
  Medicare reassignment
• Imani Woundcare Services Inc

  dba WC Home Services

  • Community Health Nurse Practitioner
  • Temecula, CA
  • NPI 1003536012
  NPD
• Mobileonedocs, LLC

  • Family Nurse Practitioner
  • Colorado Springs, CO
  • NPI 1740858950
  NPD

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

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1730681602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42107 ALEXANDRA DR",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925623485",
            "telephone_number": "949-295-5345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42107 ALEXANDRA DR",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925623485",
            "telephone_number": "949-295-5345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "229 W 7th St",
            "address_purpose": "LOCATION",
            "city": "San Jacinto",
            "state": "CA",
            "postal_code": "925834662",
            "country_code": "US",
            "telephone_number": "951-487-2550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MWANIA",
        "first_name": "NANCY",
        "middle_name": "W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-06",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95007987",
            "primary": false
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "CA",
            "license": "714581",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "95007987",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Murrieta Specialty Surgery Center PC a Professional Corporation
• Murrieta Valley Family Medical Group, Inc.
• Murrieta Valley Pain Specialists, Inc
• Murrieta Valley Usd
• Lydia Mwangi
• Brody Austin Myers
• Kyndlle Myers
• Marquise Myers
• N.E.M.T by Moe LLC
• Nura Nael

• Pediatric Registered Nurse in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Pediatric Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.