RONNESHA UNIQUE BLACK
NPI 1962198754
Community Health Worker in Los Angeles, CA
About Ronnesha Unique Black NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RONNESHA UNIQUE BLACK (NPI 1962198754) is an individual community health worker in Los Angeles, California and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ronnesha Unique Black is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Ronnesha Black reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Placentia, CA 92870
- Reassigned Medicare billing, California enrollment
- 150 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
LOS ANGELES, CA 90059
LOS ANGELES, CA 90059
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 Ronnesha Black's NPI number?
The NPI number for Ronnesha Black is 1962198754. It was assigned to this individual provider in the NPPES registry on April 13, 2023.
Where is Ronnesha Black located?
Ronnesha Black practices at 12021 Wilmington Ave, Los Angeles, CA 90059. The listed phone number is (310) 221-6336.
What is Ronnesha Black's specialty?
The primary specialty registered for this NPI is Community Health Worker with taxonomy code 172V00000X.
Is Ronnesha Black enrolled in Medicare?
Yes. Ronnesha Black is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Ronnesha Black's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ronnesha Black reassigns Medicare benefits to Forward Wellness Family Therapy, Inc. (Placentia, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ronnesha Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ronnesha Black was last updated on January 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.