Kimberly Nargis John

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

486167 Issued in CA

Practice address

25558 Mandarin CT
Loma Linda, CA 92354-3713

Phone

(909) 969-0822

NPI assigned

Mar 16, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1584316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1376179952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25558 MANDARIN CT",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543713",
            "telephone_number": "909-969-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25558 MANDARIN CT",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543713",
            "telephone_number": "909-969-0822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN",
        "first_name": "KIMBERLY",
        "middle_name": "NARGIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-16",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "486167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lin Jing, DMD
• Jino Park DDS Dental Corporation
• Leela Job, M.D.
• Upinder K Jodhka, MD
• Camille Elizabeth Torres Johansen
• Anissa Elice Johnson, DO
• Ernest Johnson, CRNA
• Jeffrey Branden Johnson
• Joshua Don Johnson
• Melanie Diane Johnson, LCSW

• Registered Nurse in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Registered Nurse in California

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