Individual provider Active NPI

Verah Keneilwe Mthombeni, NP

  • Women's Health Nurse Practitioner
  • Loma Linda, CA
National Provider Identifier
1356526511
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
376458 Issued in CA
Practice address
25051 Redlands Blvd
Loma Linda, CA 92354-4099
Phone
(909) 478-7776
Fax
(909) 478-7768
NPI assigned
Jan 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 376458 CA Primary

Addresses

Primary practice location

25051 Redlands Blvd
Loma Linda, CA 92354-4099

Mailing address

PO Box 1579
Loma Linda, CA 92354-1579
Phone (909) 478-7776

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
376458CAMDWomen's Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1356526511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1579",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923541579",
            "telephone_number": "909-478-7776",
            "fax_number": "909-478-7768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25051 REDLANDS BLVD",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923544099",
            "telephone_number": "909-478-7776",
            "fax_number": "909-478-7768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MTHOMBENI",
        "first_name": "VERAH",
        "middle_name": "KENEILWE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "376458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.