Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mr. Mark Anwuli Awanyai Jr., NP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1356056030

Mr. Mark Anwuli Awanyai Jr., NP is a Nurse Practitioner in Lakewood, California. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in Arizona, California and Massachusetts.

Years since qualifying
1
Licensed in
AZ, CA, MA
In the registry since
2023
Specialties on file
4
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

5603 Carfax Ave
Lakewood, CA 90713-1253
Phone: (725) 502-1061
Fax: (562) 512-4871
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4211 Avalon Blvd, Los Angeles, CA 90011-5622 — (323) 233-0425

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95037463 (CA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence RN10034774 (MA)
Registered Nurse Taxonomy 163W00000X · Licence 95100194 (CA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 331435 (AZ)

Record details

NPI number1356056030
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedJanuary 18, 2023
Last updated in NPPESSeptember 9, 2026
Certification dateSeptember 9, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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