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: July 19, 2026.

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

  • Individual
  • Female
  • Student in an Organized Health Care Educ...

About SELOM GBEWONYO

This page provides the complete NPI Profile along with additional information for Selom Gbewonyo, a primary care provider established in Canoga Park, California with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1972226199 assigned on September 2022. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1972226199 Verify this NPI
Provider Name
SELOM GBEWONYO
Gender
Female
Entity Type
Individual
Location Address
21201 VICTORY BLVD STE 205 CANOGA PARK, CA 91303
Location Phone
(888) 428-3223
Mailing Address
1731 E 120TH ST LOS ANGELES, CA 90059
Is Sole Proprietor?
No
Enumeration Date
09-22-2022
Last Update Date
08-07-2025
Code Navigator

A primary care provider (PCP) like Selom Gbewonyo sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1106S00000XBehavioral Health & Social Service Providers

Behavior Technician

 

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Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

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

The NPI number assigned to this healthcare provider is 1972226199, enumerated as an "individual" on September 22, 2022.

The provider is located at 21201 VICTORY BLVD STE 205 CANOGA PARK, CA 91303 and the phone number is (888) 428-3223.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.