Active NPI
Kai Harper
- Licensed Vocational Nurse
- San Bernardino, CA
National Provider Identifier
1568066785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 254252
- Practice address
- 967 Kendall Dr # A329
San Bernardino, CA 92407-4306 - Phone
- (909) 689-6095
- NPI assigned
- Nov 29, 2020
- Last updated
- Nov 29, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 254252 | CA | Primary |
Addresses
Primary practice location
967 Kendall Dr # A329
San Bernardino, CA 92407-4306
Mailing address
967 Kendall Dr # A329
San Bernardino, CA 92407-4306
Phone (909) 689-6095
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Peacockdesertrose@yahoo.com | Peacock Desert Rose Services Limited |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 254252 | CA | MD | Licensed Vocational Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacock Desert Rose Services Limited | Licensed Vocational Nurse | Current | Accepting new patients |
Locations
967 Kendall Dr
#A329
San Bernardino, CA 92407
Phone (909) 689-6095
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Licensed Vocational Nurse
- San Bernardino, CA
- NPI 1356945562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606608000000",
"number": "1568066785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "967 KENDALL DR # A329",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924074306",
"telephone_number": "909-689-6095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "967 KENDALL DR # A329",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924074306",
"telephone_number": "909-689-6095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARPER",
"first_name": "KAI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-29",
"last_updated": "2020-11-29",
"certification_date": "2020-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "254252",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Peacockdesertrose@yahoo.com",
"affiliation": "Y",
"affiliationName": "Peacock Desert Rose Services Limited",
"address_1": "967 Kendall Dr # A329",
"city": "San Bernardino",
"state": "CA",
"country_code": "US",
"postal_code": "924074306",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Bernardino, CA
- Harmony Place
- Harnitchek Chiropractic Professional Corporation (Hospitality Health Center)
- Paul E Harnitchek Sr., DC
- Wynter Annessa Ualani Haro Marin, MPSS
- Vanessa Haro
- Lauren Marie Sigsworth Harper, MD
- Shawn Harper
- Harpreet S Gill DDS Inc (Dr.Gill's Family Dentistry)
- Louise Harrell, CRNA
- Breeana Harrington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.