ROM MENDAWI AGACNP
NPI 1598507105
Nurse Practitioner - Gerontology in Van Nuys, CA

Active since June 12, 2024
6850 SEPULVEDA BLVD STE 217, VAN NUYS, CA 91405(818) 901-7855(818) 901-1915 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Mar 19, 2026, Jun 12, 2024 (2 updates tracked since 2024).

About Rom Mendawi Agacnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROM MENDAWI AGACNP (NPI 1598507105) is an individual gerontology provider in Van Nuys, California, licensed in California (95030481) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1598507105
Entity TypeIndividualMale
Primary Taxonomy363LG0600X
Provider Legal NameROM MENDAWICredential: AGACNP
Location Address6850 SEPULVEDA BLVD STE 217Van Nuys, CA 91405-4466
Mailing Address6850 Sepulveda Blvd Ste 217Van Nuys, CA 91405-4466 · (818) 901-7855 · Fax (818) 901-1915
Fax(818) 901-1915
Sole ProprietorYes
Enumeration DateJune 12, 2024
Last NPPES UpdateMarch 19, 20262 updates tracked since enumeration
NPPES CertifiedMarch 19, 2026
✔ NPI 1598507105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in CA · 95030481
6850 SEPULVEDA BLVD STE 217, Van Nuys, CA 91405

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Geriatric Medicine)
6850 SEPULVEDA BLVD STE 217
VAN NUYS, CA 91405
Internal Medicine
6850 SEPULVEDA BLVD STE 217
VAN NUYS, CA 91405

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rom Mendawi's NPI number?

The NPI number for Rom Mendawi is 1598507105. It was assigned to this individual provider in the NPPES registry on June 12, 2024.

Where is Rom Mendawi located?

Rom Mendawi practices at 6850 Sepulveda Blvd Ste 217, Van Nuys, CA 91405. The listed phone number is (818) 901-7855.

What is Rom Mendawi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Rom Mendawi was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.