Active NPI
Eos Nursing
- Psychiatric/Mental Health Nurse Practitioner
- Lakewood, CA
National Provider Identifier
1932016631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- EOS NURSING
- Practice address
- 5603 Carfax Ave
Lakewood, CA 90713-1253 - Phone
- (562) 378-3798
- Fax
- (562) 512-4871
- NPI assigned
- Aug 26, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mark Anwuli Awanyai Jr., PMHNP-BC
- Title
- President
- Phone
- (562) 378-3798
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
5603 Carfax Ave
Lakewood, CA 90713-1253
Mailing address
5603 Carfax Ave
Lakewood, CA 90713-1253
Phone (562) 378-3798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787702400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787702400000",
"number": "1932016631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5603 CARFAX AVE",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907131253",
"telephone_number": "562-378-3798",
"fax_number": "562-512-4871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5603 CARFAX AVE",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907131253",
"telephone_number": "562-378-3798",
"fax_number": "562-512-4871"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EOS NURSING",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-26",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A",
"authorized_official_last_name": "AWANYAI",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "ANWULI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "562-378-3798",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "PMHNP-BC"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.