Active NPI
Monika Kaniewska, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Long Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95004543
- Practice address
- 11 Golden SHR Ste 350
Long Beach, CA 90802-4279 - Phone
- (888) 588-8995
- NPI assigned
- Jan 9, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95004543 | CA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95004543 | CA | Primary |
Addresses
Primary practice location
11 Golden SHR Ste 350
Long Beach, CA 90802-4279
Mailing address
15615 Alton Pkwy Ste 250
Irvine, CA 92618-7308
Phone (888) 588-8995
Other practice location 1
26800 Crown Valley Pkwy Ste 150
Mission Viejo, CA 92691-8018
Phone (888) 588-8995
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1000 G St
Suite 125
Sacramento, CA 95814-0894
Phone (888) 588-8995
1950 Sunny Crest Dr
Suite 2900
Fullerton, CA 92835-3641
Phone (714) 992-5350
26800 Crown Valley Pkwy
Mission Viejo, CA 92691-6384
395 W Avenida Vista Hermosa
San Clemente, CA 92672-7720
Phone (949) 304-2117
Hospital & facility affiliations
- Providence Mission Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95004543 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foresight Mental Health | Psychiatric/Mental Health | Current | Accepting new patients |
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Mission Hospital Regional Medical Center | Past | Accepting new patients |
Locations
200 W Ctr St Promenade
Ste 400
Anaheim, CA 92805
1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835
100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200
11 Golden Shore
Ste 350
Long Beach, CA 90802
Phone (562) 253-7688
235 E Broadway
Ste 314
Long Beach, CA 90802
Phone (530) 240-5855
26800 Crown Valley Pkwy
Ste 150
Mission Viejo, CA 92691
Phone (949) 276-2111
26800 Crown Valley Pkwy
Ste 545
Mission Viejo, CA 92691
Phone (949) 364-1040
26800 Crown Valley Pkwy
Ste 300
Mission Viejo, CA 92691
26522 La Alameda
Ste 120
Mission Viejo, CA 92691
Phone (949) 282-1671
1000 G St
Ste 125
Sacramento, CA 95814
Phone (510) 345-4379
Interoperability endpoints
- mkaniewska1373960@oc.providencedirect.org
- monika.kaniewska.1@25119.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Brea, CA
- NPI 1871607762
-
- General Practice Physician
- Diamond Bar, CA
- NPI 1285890624
-
- Family Medicine Physician
- Anaheim, CA
- NPI 1639715709
-
- Rehabilitation Hospital
- Mission Viejo, CA
- NPI 1003956913
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mission Viejo, CA
- NPI 1912108002
-
- General Acute Care Hospital
- Mission Viejo, CA
- NPI 1992752315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744761600000",
"number": "1770949513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15615 ALTON PKWY STE 250",
"city": "IRVINE",
"state": "CA",
"postal_code": "926187308",
"telephone_number": "888-588-8995",
"fax_number": "510-756-0812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 GOLDEN SHR STE 350",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908024279",
"telephone_number": "888-588-8995"
}
],
"practiceLocations": [
{
"address_1": "26800 Crown Valley Pkwy Ste 150",
"address_purpose": "LOCATION",
"city": "Mission Viejo",
"state": "CA",
"postal_code": "926918018",
"country_code": "US",
"telephone_number": "888-588-8995",
"fax_number": "510-756-0812",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KANIEWSKA",
"first_name": "MONIKA",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-09",
"last_updated": "2025-04-16",
"certification_date": "2025-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95004543",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95004543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.