Charles K Ngethe

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

VN 247594 Issued in CA

Practice address

2883 Pansy Way
San Jacinto, CA 92582

Phone

(949) 394-1933

NPI assigned

Nov 6, 2011

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": "1320537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538179200000",
    "number": "1528345451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2883 PANSY WAY",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925823742",
            "telephone_number": "949-394-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2883 PANSY WAY",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "92582",
            "telephone_number": "949-394-1933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12640 Euclid St Apt 105",
            "address_purpose": "LOCATION",
            "city": "Garden Grove",
            "state": "CA",
            "postal_code": "928408204",
            "country_code": "US",
            "telephone_number": "949-419-4132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGETHE",
        "first_name": "CHARLES",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-06",
        "last_updated": "2018-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN 247594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Teyerrah Monae Newberry
• Nha-Han Nguyen-Deo, OD
• Amadeus Nguyen, PHARM.D
• Anh Nguyen, PHARM D
• Cindy Nguyen, PHARMD.
• Mai Nguyen

• Licensed Vocational Nurse in San Jacinto, CA
• Providers in San Jacinto, 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 29, 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.