Active NPI
Josephine Waithaka
- Nurse's Aide
- Santa Clara, CA
National Provider Identifier
1285402610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- NC61082038
- Practice address
- 4699 Old Ironsides Dr
Santa Clara, CA 95054-1824 - Phone
- (408) 863-1705
- NPI assigned
- Dec 14, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | NC61082038 | WA | Primary |
Addresses
Primary practice location
4699 Old Ironsides Dr
Santa Clara, CA 95054-1824
Mailing address
301 S Balfour Rd
Spokane Valley, WA 99206-4398
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NC61082038 | WA | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702512000000",
"number": "1285402610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 S BALFOUR RD",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992064398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4699 OLD IRONSIDES DR",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950541824",
"telephone_number": "408-863-1705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAITHAKA",
"first_name": "JOSEPHINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-14",
"last_updated": "2023-12-14",
"certification_date": "2023-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "WA",
"license": "NC61082038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Clara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.