Individual provider Active NPI

James M Mwaura, RN

  • Registered Nurse
  • Jurupa Valley, CA
National Provider Identifier
1275026080
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
95241409 Issued in CA
Practice address
6935 Lagoon CT
Jurupa Valley, CA 91752-2783
Phone
(214) 551-3309
NPI assigned
Jun 7, 2018
Last updated
Jun 3, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 937988 TX
Registered Nurse 163W00000X 95241409 CA Primary

Addresses

Primary practice location

6935 Lagoon CT
Jurupa Valley, CA 91752-2783

Mailing address

6935 Lagoon CT
Jurupa Valley, CA 91752-2783
Phone (214) 551-3309

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
95241409CAMDRegistered Nurse
937988TXMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1275026080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6935 LAGOON CT",
            "city": "JURUPA VALLEY",
            "state": "CA",
            "postal_code": "917522783",
            "telephone_number": "214-551-3309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6935 LAGOON CT",
            "city": "JURUPA VALLEY",
            "state": "CA",
            "postal_code": "917522783",
            "telephone_number": "214-551-3309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MWAURA",
        "first_name": "JAMES",
        "middle_name": "M",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-07",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "937988",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95241409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jurupa Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.