Judith Leah Mwandaga

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

694652 Issued in CA

Practice address

582 Manhattan Way
Corona, CA 92881-8400

Phone

(714) 858-1284

NPI assigned

Mar 27, 2018

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

Practice roles

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

• Swalea LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Phoenix, AZ
  • NPI 1326767153
  NPD (past) Authorized official

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522108800000",
    "number": "1407351935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "582 MANHATTAN WAY",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928818400",
            "telephone_number": "714-858-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "582 MANHATTAN WAY",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928818400",
            "telephone_number": "714-858-1284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MWANDAGA",
        "first_name": "JUDITH",
        "middle_name": "LEAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-27",
        "last_updated": "2018-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "CA",
            "license": "694652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Murray
• Catherine A Musick-Vinyard, LCSW
• Mustafa Makati DDS a Professional Corp
• Rehana Y Mustafa, RPH
• Mutahir Farhan Medical Corporation
• Judy W Mwaura
• Stephen Nduba Mwaura, RN
• Esther Mwilitya
• My First Pharmacy Corporation (Doc Arvidsons Pharmacy)
• My Ride Transport

• Home Health Registered Nurse in Corona, CA
• Providers in Corona, CA by specialty
• Home Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; 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.