George Waweru, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

767152 Issued in CA

Practice address

1777 W Lincoln Rd
Stockton, CA 95207-2451

Phone

(209) 598-3633

NPI assigned

Jun 10, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1396312930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 W LINCOLN RD",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952072451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 W LINCOLN RD",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952072451",
            "telephone_number": "209-598-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAWERU",
        "first_name": "GEORGE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-10",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "CA",
            "license": "767152",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "767152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Watson
• Dave' Watts-Braggs
• Emily L Watts, DPT
• Tina-Marie Georgina Watts
• Trevon Watts
• Tin Aung Way, MD
• Wayfinder Family Services
• Kevin Weatherby
• Anne Weber
• Bailey Weber

• Registered Nurse in Stockton, CA
• Providers in Stockton, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.