Individual provider Active NPI

Jenna Lauren Zommick, FNP, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Valencia, CA
National Provider Identifier
1952984783
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95021452 Issued in CA
Practice address
28212 Kelly Johnson Pkwy Ste 215
Valencia, CA 91355
Phone
(818) 688-6826
NPI assigned
Apr 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95137102 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95021452 CA Primary
Family Nurse Practitioner 363LF0000X 95021452 CA
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

28212 Kelly Johnson Pkwy Ste 215
Valencia, CA 91355

Mailing address

28212 Kelly Johnson Pkwy Ste 215
Valencia, CA 91355
Phone (818) 688-6826

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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220930000253 CA Practitioner - Nurse Practitioner 2062898901 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mental Wellness for Life a Nursing CorporationGroup PAC ID 7214307727, 2 clinicians

Practice addresses (Care Compare)

28212 Kelly Johnson Pkwy
Suite 215
Valencia, CA 91355-5090
Phone (402) 413-1684

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
95137102CAMDRegistered Nurse
95021452CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tarzana Treatment Centers, Inc. Case Manager/Care Coordinator Current Accepting new patients
SC Medical, Inc. CurrentSince Oct 20, 2023 Accepting new patients
Tarzana Treatment Centers, Inc. CurrentSince Jun 24, 2022 Accepting new patients
Mental Wellness for Life a Nursing Corporation Psychiatric/Mental Health CurrentSince Mar 3, 2023 Accepting new patients
Brainstim Centers, Inc CurrentSince Mar 3, 2023 Accepting new patients
Tarzana Treatment Centers, Inc Case Manager/Care Coordinator CurrentSince Jun 24, 2022 Accepting new patients
SC Medical, Inc. CurrentSince Oct 20, 2023 Accepting new patients

Locations

23500 Park Sorrento
Unit A4
Calabasas, CA 91302
Phone (310) 895-7122

44151 15th St W
Ste 210
Lancaster, CA 93534
Phone (310) 895-7122

8330 Reseda Blvd
Northridge, CA 91324
Phone (818) 534-1820

19042 Soledad Canyon Rd
Santa Clarita, CA 91351
Phone (661) 251-6300

18646 Oxnard St
Tarzana, CA 91356
Phone (818) 654-3815

28212 Kelly Johnson Pkwy
Ste 215
Valencia, CA 91355
Phone (310) 314-8250

27550 Newhall Ranch Rd
Ste 203
Valencia, CA 91355
Phone (661) 251-6300

6640 Van Nuys Blvd
Ste 207
Van Nuys, CA 91405
Phone (310) 895-7122

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1952984783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28212 KELLY JOHNSON PKWY STE 215",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "91355",
            "telephone_number": "818-688-6826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28212 KELLY JOHNSON PKWY STE 215",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "91355",
            "telephone_number": "818-688-6826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOMMICK",
        "first_name": "JENNA",
        "middle_name": "LAUREN",
        "credential": "FNP, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-29",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95137102",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95021452",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95021452",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

Verify at the official NPI Registry.