Individual provider Active NPI

Dorcas Wanjohi, REGISTERED NURSE

  • Registered Nurse
  • Moreno Valley, CA
National Provider Identifier
1336750991
Registry record updated Aug 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
611882 Issued in CA
Practice address
14562 Willow Leaf Rd
Moreno Valley, CA 92555-4758
Phone
(951) 478-5020
NPI assigned
Aug 16, 2020
Last updated
Aug 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2020

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 611882 CA Primary

Addresses

Primary practice location

14562 Willow Leaf Rd
Moreno Valley, CA 92555-4758

Mailing address

14562 Willow Leaf Rd
Moreno Valley, CA 92555-4758
Phone (951) 478-5020

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL dorcaswanjohi88@gmail.com Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
611882CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1597536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597536000000",
    "number": "1336750991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14562 WILLOW LEAF RD",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925554758",
            "telephone_number": "951-478-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14562 WILLOW LEAF RD",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925554758",
            "telephone_number": "951-478-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANJOHI",
        "first_name": "DORCAS",
        "name_prefix": "Ms.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-16",
        "last_updated": "2020-08-16",
        "certification_date": "2020-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "611882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "dorcaswanjohi88@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business endpoint",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14562 Willow Leaf Rd",
            "city": "Moreno Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925554758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2020; 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.