Organization Active NPI

Lumira Nursing Corporation

Doing business as Lumira Health and Wellness

  • Primary Care Nurse Practitioner
  • San Jose, CA
National Provider Identifier
1285422527
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
LUMIRA NURSING CORPORATION
Doing business as
Lumira Health and Wellness
Practice address
28 N 4TH St Unit 2411
San Jose, CA 95112-6178
Phone
(408) 614-9504
NPI assigned
Apr 28, 2025
Last updated
Aug 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Authorized official

Name
Judith Kibuh, NPNPI 1811727712
Title
Ceo/President
Phone
(408) 614-9504

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X NU
Health Service Clinic/Center 261QH0100X NU
Infusion Therapy Clinic/Center 261QI0500X NU
Primary Care Clinic/Center 261QP2300X NU
Primary Care Nurse Practitioner 363LP2300X NU Primary

Addresses

Primary practice location

28 N 4TH St Unit 2411
San Jose, CA 95112-6178

Mailing address

28 N 4TH St Unit 2411
San Jose, CA 95112-6178
Phone (408) 614-9504

Other names 1

  • LUMIRA HEALTH AND WELLNESS Doing business as

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1745798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1285422527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 N 4TH ST UNIT 2411",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951126178",
            "telephone_number": "408-614-9504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 N 4TH ST UNIT 2411",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951126178",
            "telephone_number": "408-614-9504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMIRA NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-28",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "KIBUH",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "408-614-9504",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LUMIRA HEALTH AND WELLNESS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 27, 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.