Individual provider Active NPI

Sammy Mburu

  • Registered Nurse
  • Folsom, CA
National Provider Identifier
1003514449
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
95324096 Issued in CA
Practice address
1352 Walden Dr
Folsom, CA 95630-8467
Phone
(619) 278-8500
NPI assigned
Feb 15, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95324096 CA Primary

Addresses

Primary practice location

1352 Walden Dr
Folsom, CA 95630-8467

Mailing address

8335 Vienna Way
Riverside, CA 92508-2973

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
95324096CAMDRegistered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1003514449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8335 VIENNA WAY",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925082973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1352 WALDEN DR",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956308467",
            "telephone_number": "619-278-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBURU",
        "first_name": "SAMMY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-15",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95324096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.