Individual provider Active NPI

Ruwaichi Sifuel Lauwo, RN

  • Critical Care Medicine Registered Nurse
  • Menifee, CA
National Provider Identifier
1336653013
Registry record updated Nov 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Registered NurseTaxonomy code 163WC0200X
License
693521 Issued in CA
Practice address
29139 Guava St
Menifee, CA 92584-7290
Phone
(412) 526-6327
Fax
(951) 309-3214
NPI assigned
Nov 16, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 693521 CA Primary

Addresses

Primary practice location

29139 Guava St
Menifee, CA 92584-7290

Mailing address

29139 Guava St
Menifee, CA 92584-7290
Phone (412) 526-6327

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
693521CAMDCritical Care Medicine Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510790400000",
    "number": "1336653013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29139 GUAVA ST",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925847290",
            "telephone_number": "412-526-6327",
            "fax_number": "951-309-3214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29139 GUAVA ST",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925847290",
            "telephone_number": "412-526-6327",
            "fax_number": "951-309-3214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUWO",
        "first_name": "RUWAICHI",
        "middle_name": "SIFUEL",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-16",
        "last_updated": "2017-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "CA",
            "license": "693521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menifee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; 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.