Pono Psychiatry & Wellness a Professional Nursing Corporation

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

PONO PSYCHIATRY & WELLNESS A PROFESSIONAL NURSING CORPORATION

Practice address

4539 Pepperwood Ave
Long Beach, CA 90808-1070

Phone

(661) 313-2166

NPI assigned

Jul 13, 2026

Organization subpart

No

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

Authorized official

Name

Vicmar Burgonio

Title

Provider

Phone

(661) 313-2166

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1783900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786492800000",
    "number": "1982523288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4539 PEPPERWOOD AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081070",
            "telephone_number": "661-313-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4539 PEPPERWOOD AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081070",
            "telephone_number": "661-313-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONO PSYCHIATRY & WELLNESS A PROFESSIONAL NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-13",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A",
        "authorized_official_last_name": "BURGONIO",
        "authorized_official_first_name": "VICMAR",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "661-313-2166"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Ponce, D.P.M.
• Kendall Lynn Ponce, MA
• Mary Carmen Ponce
• Maurice Ponce
• Antonieta Poncedeleon, MFT INTERN
• Vanessa Pons, MFTI
• Thomas Dale Pontius
• Shahriar Pooladzandi, L.M.F.T
• Joshua Poole, MD
• Layhearb Tep Poon, LCSW

• Psychiatric/Mental Health Nurse Practitioner in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.

Verify at the official NPI Registry.