Individual provider Active NPI

Kasibante Andrew Kayiira, LVN

  • Licensed Practical Nurse
  • Santa Clarita, CA
National Provider Identifier
1336888759
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
VN724088 Issued in CA
Practice address
18259 Arial Way
Santa Clarita, CA 91350-5791
Phone
(661) 523-5398
NPI assigned
Jun 2, 2022
Last updated
Jun 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X VN724088 CA Primary

Addresses

Primary practice location

18259 Arial Way
Santa Clarita, CA 91350-5791

Mailing address

18259 Arial Way
Santa Clarita, CA 91350-5791
Phone (661) 523-5398

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL url 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
VN724088CAMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Sofi Health Clinic Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1336888759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18259 ARIAL WAY",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913505791",
            "telephone_number": "661-523-5398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18259 ARIAL WAY",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913505791",
            "telephone_number": "661-523-5398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAYIIRA",
        "first_name": "KASIBANTE",
        "middle_name": "ANDREW",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "CA",
            "license": "VN724088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "url",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "18259 Arial Way",
            "city": "Santa Clarita",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913505791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; 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.