Individual provider Active NPI

Humphrey Ngunjiri Wambugu

  • Nurse's Aide
  • Gresham, OR
National Provider Identifier
1396692620
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
10036934 Issued in OR
Practice address
4777 SW 11TH St Apt 223
Gresham, OR 97080-4305
Phone
(971) 232-3132
Fax
(971) 232-3132
NPI assigned
Mar 16, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 10036934 OR Primary

Addresses

Primary practice location

4777 SW 11TH St Apt 223
Gresham, OR 97080-4305

Mailing address

4777 SW 11TH St Apt 223
Gresham, OR 97080-4305
Phone (503) 465-3877

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
10036934ORMDNurse's Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Seraphim Healthcare LLC 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": "1773619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1396692620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4777 SW 11TH ST APT 223",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970804305",
            "telephone_number": "503-465-3877",
            "fax_number": "503-465-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4777 SW 11TH ST APT 223",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970804305",
            "telephone_number": "971-232-3132",
            "fax_number": "971-232-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAMBUGU",
        "first_name": "HUMPHREY",
        "middle_name": "NGUNJIRI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-03-16",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OR",
            "license": "10036934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; 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.