Individual provider Active NPI

Nwankaego Nwandei, PA-C

  • Physician Assistant
  • Sherman Oaks, CA
National Provider Identifier
1760936801
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA53760 Issued in CA
Practice address
13701 Riverside Dr
Suite 606
Sherman Oaks, CA 91423-2430
Phone
(310) 871-0670
NPI assigned
Aug 5, 2016
Sex
Female
Sole proprietor
Yes

Organizations & group practices 3

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

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stefani Lafrenierre MD Inc 7 clinicians

Practice addresses (Care Compare)

1501 Superior Ave
Newport Beach, CA 92663-3600

1501 Superior Ave
Suite 210
Newport Beach, CA 92663-3640
Phone (949) 996-5355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20250509002009 CA Practitioner - Physician Assistant 6305363615 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
53760CAMDPharmacist
PA53760CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Be Well Healthcare PC Physician Assistant Current Accepting new patients
Medi Psych Services Inc Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA53760 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

13701 Riverside Dr
Suite 606
Sherman Oaks, CA 91423-2430

Mailing address

2209 E Baseline Rd Ste 300-171
Claremont, CA 91711-7901

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2025.

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1760936801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 E BASELINE RD STE 300-171",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917117901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13701 RIVERSIDE DR",
            "address_2": "SUITE 606",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232430",
            "telephone_number": "310-871-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWANDEI",
        "first_name": "NWANKAEGO",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-05",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA53760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.