Active NPI
Austin Omwanghe
- Administrator Registered Nurse
- Pasadena, CA
National Provider Identifier
1760427330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Administrator Registered Nurse
- License
- 481425
- Practice address
- 1028 N Lake Ave
#206
Pasadena, CA 91104-5818 - Phone
- (626) 798-5300
- NPI assigned
- Jun 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Administrator Registered Nurse | 163WA2000X | 481425 | CA | Primary |
Addresses
Primary practice location
1028 N Lake Ave
#206
Pasadena, CA 91104-5818
Mailing address
1028 N Lake Ave
#206
Pasadena, CA 91104-5818
Phone (626) 798-5300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 481425 | CA | MD | Administrator Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1760427330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1028 N LAKE AVE",
"address_2": "#206",
"city": "PASADENA",
"state": "CA",
"postal_code": "911045818",
"telephone_number": "626-798-5300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1028 N LAKE AVE",
"address_2": "#206",
"city": "PASADENA",
"state": "CA",
"postal_code": "911045818",
"telephone_number": "626-798-5300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OMWANGHE",
"first_name": "AUSTIN",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-18",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "163WA2000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Administrator",
"state": "CA",
"license": "481425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.