Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Sara Olson-Wiencek, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1790400786

Sara Olson-Wiencek, PMHNP-BC is a Nurse Practitioner in Gardena, California. Qualified in 2022, 4 years ago. Practices with Ehab Yacoub MD Inc, a 175-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2022
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

1225 W 190th St Ste 280
Gardena, CA 90248-4305
Phone: (310) 515-8113
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5201 Great America Pkwy Ste 320, Santa Clara, CA 95054-1140 — (888) 684-2779

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence NP95022522 (CA)

Record details

NPI number1790400786
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedOctober 11, 2022
Last updated in NPPESMay 29, 2023
Certification dateMay 29, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Ehab Yacoub Md Inc — 175 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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