Individual provider Active NPI

Jeffer Cherengeti Kiprotcih, RN

  • General Practice Registered Nurse
  • La Crescenta, CA
National Provider Identifier
1518538255
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
RN95201800 Issued in CA
Practice address
2721 Sanborn Ave
La Crescenta, CA 91214-2920
Phone
(626) 354-1798
NPI assigned
Jul 4, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X RN95201800 CA Primary

Addresses

Primary practice location

2721 Sanborn Ave
La Crescenta, CA 91214-2920

Mailing address

2721 Sanborn Ave
La Crescenta, CA 91214-2920
Phone (626) 689-3362

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN95201800CAMDGeneral Practice Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1625356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1518538255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2721 SANBORN AVE",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912142920",
            "telephone_number": "626-689-3362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 SANBORN AVE",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912142920",
            "telephone_number": "626-354-1798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIPROTCIH",
        "first_name": "JEFFER",
        "middle_name": "CHERENGETI",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-04",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CA",
            "license": "RN95201800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crescenta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; 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.