Geoffrey Ngugi

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

95083983 Issued in CA

Practice address

10913 Gladlands Ave
Stockton, CA 95219-8800

Phone

(574) 329-1509

NPI assigned

Oct 31, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

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": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1427765346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10913 GLADLANDS AVE",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952198800",
            "telephone_number": "574-329-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10913 GLADLANDS AVE",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952198800",
            "telephone_number": "574-329-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUGI",
        "first_name": "GEOFFREY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "CA",
            "license": "95083983",
            "primary": false
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "CA",
            "license": "95083983",
            "primary": false
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "CA",
            "license": "95083983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Ngo, D.O.
• Mary Ngo
• Shelly Ngo
• Vincent Trung H Ngo, MD
• Helena Lackchanda Ngonvongsa, LVN
• Nga Nguyen Bernal
• Christabella Thanh-Mai Nguyen-Fraser, RN
• Amy Nguyen
• An Nguyen
• Angelina T Nguyen

• Medical-Surgical Registered Nurse in Stockton, CA
• Providers in Stockton, CA by specialty
• Medical-Surgical Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.