Organization Active NPI

Kngdm Services

  • Registered Nurse First Assistant
  • San Jose, CA
National Provider Identifier
1104772862
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
Legal business name
KNGDM SERVICES
Practice address
17081 Pistache Dr
San Jose, CA 95128-1469
Phone
(408) 823-2070
NPI assigned
Mar 5, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Authorized official

Name
Mr. Ronnie Comia Villanueva, BS RN CNOR RNFANPI 1245818921
Title
Owner
Phone
(408) 823-2070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 163WR0006X Primary

Addresses

Primary practice location

17081 Pistache Dr
San Jose, CA 95128-1469

Mailing address

17081 Pistache Dr
Morgan Hill, CA 95037-7246
Phone (408) 823-2070

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1772668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1104772862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17081 PISTACHE DR",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950377246",
            "telephone_number": "408-823-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17081 PISTACHE DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281469",
            "telephone_number": "408-823-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNGDM SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-05",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A",
        "authorized_official_last_name": "VILLANUEVA",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_middle_name": "COMIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-823-2070",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS RN CNOR RNFA"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.

Verify at the official NPI Registry.