Samson Kiarie Kangiri

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

733274 Issued in CA

Practice address

33098 Canopy LN
Lake Elsinore, CA 92532-2540

Phone

(702) 606-1332

NPI assigned

Sep 15, 2023

Last updated

Sep 15, 2023By the provider in NPPES

Sex

Male

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

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1518745181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33098 CANOPY LN",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925322540",
            "telephone_number": "702-606-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33098 CANOPY LN",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925322540",
            "telephone_number": "702-606-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANGIRI",
        "first_name": "SAMSON",
        "middle_name": "KIARIE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "733274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dana Monroe Kelley
• Judy Kelly

• Licensed Vocational Nurse in Lake Elsinore, CA
• Providers in Lake Elsinore, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.