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JACOBETT NAOMIE O WASONGA-AGAK DNP, CNS, RN
NPI 1932924230
Clinical Nurse Specialist in Van Nuys, CA

Active since November 21, 2024
15107 VANOWEN ST, VAN NUYS, CA 91405(818) 205-7137 Get Directions Write a Review

NPPES record last updated: November 21, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Jacobett Naomie O Wasonga-agak Dnp, Cns, Rn NPPES

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

JACOBETT NAOMIE O WASONGA-AGAK DNP, CNS, RN (NPI 1932924230) is an individual clinical nurse specialist in Van Nuys, California, licensed in California (4920) and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1932924230
Entity TypeIndividual
Primary Taxonomy364S00000X
Provider Legal NameJACOBETT NAOMIE O WASONGA-AGAKCredential: DNP, CNS, RN
Location Address15107 VANOWEN STVan Nuys, CA 91405-4597
Mailing Address3365 Waco AveSimi Valley, CA 93063-1225
Phone(818) 205-7137
Sole ProprietorNo
Enumeration DateNovember 21, 2024
NPPES CertifiedNovember 21, 2024
✔ NPI 1932924230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364S00000X
License✔ Licensed in CA · 4920
Definition
A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.
Also ListedRegistered NurseTaxonomy 163W00000X · License 95157691 (CA)
15107 VANOWEN ST, Van Nuys, CA 91405
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Other Names 1

Former Name (1)Jacobett Amboka

Other Providers at the Same Location NPPES 20

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

DR. SHAHRAM SHAWN FARAHVASH M.D.
Anesthesiology
15107 VANOWEN ST
VAN NUYS, CA 91405
Los Angeles County (818) 782-6600
PETER KOETTERS M.D.
Pediatrics (Pediatric Critical Care Medicine)
15107 VANOWEN ST
VAN NUYS, CA 91405
Los Angeles County (818) 902-5771
MARINA A SALAMA MD INC
Pediatrics (Adolescent Medicine)
15107 VANOWEN ST
VAN NUYS, CA 91405
Los Angeles County (818) 782-6600
SHANNON TRAN
Nurse Practitioner
15107 VANOWEN ST
VAN NUYS, CA 91405
Los Angeles County (818) 782-6600
VALLEY PRESBYTERIAN EMERGENCY MEDICAL ASSOCIATES
Emergency Medicine
15107 VANOWEN ST
VAN NUYS, CA 91405
Los Angeles County (310) 321-0143
RONALD J BELCZYK, DPM INC.
Podiatrist (Foot & Ankle Surgery)
15107 VANOWEN ST
VAN NUYS, CA 91405
Los Angeles County (818) 782-6600
KAREN EILEEN MCVEIGH M.D.
Pediatrics (Pediatric Critical Care Medicine)
15107 VANOWEN ST
VAN NUYS, CA 91405
Los Angeles County (818) 902-5771
MARVIN I RETSKY, MD AND DENNIS KASIMIAN, MD A PROFESSIONAL CORPORATION
Pathology (Anatomic Pathology & Clinical Pathology)
15107 VANOWEN ST
VAN NUYS, CA 91405
Los Angeles County (818) 905-2961

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 Jacobett Wasonga-agak's NPI number?

The NPI number for Jacobett Wasonga-agak is 1932924230. It was assigned to this individual provider in the NPPES registry on November 21, 2024. The provider is also known as Jacobett Amboka.

Where is Jacobett Wasonga-agak located?

Jacobett Wasonga-agak practices at 15107 Vanowen St, Van Nuys, CA 91405. The listed phone number is (818) 205-7137.

What is Jacobett Wasonga-agak's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist with taxonomy code 364S00000X.

When was this NPI record last updated?

The NPPES record for Jacobett Wasonga-agak was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.