Active NPI
Edwin Israel Ogutu
- Registered Nurse
- Santa Clara, CA
National Provider Identifier
1023929346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 95205043
- Practice address
- 700 Lawrence Expy
Santa Clara, CA 95051-5173 - Phone
- (408) 851-1000
- NPI assigned
- Sep 15, 2026
- Last updated
- Sep 15, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R51029 | ND | |
| Registered Nurse | 163W00000X | 718667 | NY | |
| Registered Nurse | 163W00000X | 95205043 | CA | Primary |
Addresses
Primary practice location
700 Lawrence Expy
Santa Clara, CA 95051-5173
Mailing address
1313 Marcello Dr
San Jose, CA 95131-1773
Phone (201) 702-6389
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789430400000",
"number": "1023929346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1313 MARCELLO DR",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951311773",
"telephone_number": "201-702-6389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 LAWRENCE EXPY",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950515173",
"telephone_number": "408-851-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGUTU",
"first_name": "EDWIN",
"middle_name": "ISRAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-15",
"last_updated": "2026-09-15",
"certification_date": "2026-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "ND",
"license": "R51029",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "718667",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95205043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Clara, CA
- Bernadette Theresa O'Neill
- Efren Manuel Obsuna
- Occupational Health Centers of California (Concentra Medical Center)
- Occupational Health Centers of California, a Medical Corporation (Concentra Medical Center)
- Vanessa Ocon
- Richard J. Oh, MD
- Somi Oh, O.D.
- Han S Ohm, L.AC., O.M.D.
- Naoko Ohtsuki
- Mia Angela Okamoto, M.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.