SELOM GBEWONYO
NPI 1972226199
Student in an Organized Health Care Education/Training Program in Canoga Park, CA

Active since September 22, 2022
21201 VICTORY BLVD STE 205, CANOGA PARK, CA 91303(888) 428-3223 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 7, 2025, Sep 22, 2022 (2 updates tracked since 2022).

About Selom Gbewonyo NPPES

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

SELOM GBEWONYO (NPI 1972226199) is an individual student in an organized health care education/training program in Canoga Park, California and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1972226199
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSELOM GBEWONYO
Location Address21201 VICTORY BLVD STE 205Canoga Park, CA 91303-4056
Mailing Address1731 E 120th StLos Angeles, CA 90059-3051
Sole ProprietorNo
Enumeration DateSeptember 22, 2022
Last NPPES UpdateAugust 7, 20252 updates tracked since enumeration
NPPES CertifiedAugust 7, 2025
NPI 1972226199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedBehavior TechnicianTaxonomy 106S00000X
21201 VICTORY BLVD STE 205, Canoga Park, CA 91303

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.

Behavior Technician
21201 VICTORY BLVD STE 205
CANOGA PARK, CA 91303
Behavior Technician
21201 VICTORY BLVD STE 205
CANOGA PARK, CA 91303
Behavior Technician
21201 VICTORY BLVD STE 205
CANOGA PARK, CA 91303
Behavior Technician
21201 VICTORY BLVD STE 205
CANOGA PARK, CA 91303
Behavior Technician
21201 VICTORY BLVD STE 205
CANOGA PARK, CA 91303
Behavior Technician
21201 VICTORY BLVD STE 205
CANOGA PARK, CA 91303
Behavior Technician
21201 VICTORY BLVD STE 205
CANOGA PARK, CA 91303
Behavior Technician
21201 VICTORY BLVD STE 205
CANOGA PARK, CA 91303

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 Selom Gbewonyo's NPI number?

The NPI number for Selom Gbewonyo is 1972226199. It was assigned to this individual provider in the NPPES registry on September 22, 2022.

Where is Selom Gbewonyo located?

Selom Gbewonyo practices at 21201 Victory Blvd Ste 205, Canoga Park, CA 91303. The listed phone number is (888) 428-3223.

What is Selom Gbewonyo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Selom Gbewonyo was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.