Individual provider Active NPI

Monica Wairimu Mwaniki, RN

  • Registered Nurse
  • Lake Elsinore, CA
National Provider Identifier
1265279285
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
95351975 Issued in CA
Practice address
36277 Waxen Rd
Lake Elsinore, CA 92532-2565
Phone
(725) 201-8560
NPI assigned
Jul 9, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 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 95351975 CA Primary

Addresses

Primary practice location

36277 Waxen Rd
Lake Elsinore, CA 92532-2565

Mailing address

36277 Waxen Rd
Lake Elsinore, CA 92532-2565
Phone (725) 201-8560

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
95351975CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1265279285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36277 WAXEN RD",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925322565",
            "telephone_number": "725-201-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36277 WAXEN RD",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925322565",
            "telephone_number": "725-201-8560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MWANIKI",
        "first_name": "MONICA",
        "middle_name": "WAIRIMU",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-09",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95351975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Elsinore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.