Elendu Eme Lekwauwa

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

250109 Issued in CA

Practice address

15200 Foothill Blvd
San Leandro, CA 94578-1013

Phone

(510) 352-9690

NPI assigned

Nov 4, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1124841556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31992",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946047992",
            "telephone_number": "925-451-7866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 FOOTHILL BLVD",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945781013",
            "telephone_number": "510-352-9690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEKWAUWA",
        "first_name": "ELENDU",
        "middle_name": "EME",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "250109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wei Lee
• William James Lehrich, DPM
• Ying Lei
• Jessica Leimone
• Karen Elizabeth Leipzig
• Carmen Leles, RCP RRT
• Mahesh Lellella, MD
• Heather Christine Lemaster
• Maurice Lemon Sr., M-RAS, CSC, NCAC I
• Yesenia Lemus-Leon

• Licensed Vocational Nurse in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.