Individual provider Active NPI

Loise Muthoni Wanjiku

  • Cardiac Rehabilitation Registered Nurse
  • Sacramento, CA
National Provider Identifier
1417735580
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiac Rehabilitation Registered NurseTaxonomy code 163WC3500X
License
95199181 Issued in CA
Practice address
8264 Grand Cru Dr
Sacramento, CA 95829-9515
Phone
(206) 913-1006
NPI assigned
Sep 19, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiac Rehabilitation Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WC3500X 95199181 CA Primary

Addresses

Primary practice location

8264 Grand Cru Dr
Sacramento, CA 95829-9515

Mailing address

8264 Grand Cru Dr
Sacramento, CA 95829-9515
Phone (206) 913-1006

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
95199181CAMDCardiac Rehabilitation Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1417735580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8264 GRAND CRU DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958299515",
            "telephone_number": "206-913-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8264 GRAND CRU DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958299515",
            "telephone_number": "206-913-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANJIKU",
        "first_name": "LOISE",
        "middle_name": "MUTHONI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC3500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Cardiac Rehabilitation",
            "state": "CA",
            "license": "95199181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.