Mwezo Kudumu, BS, CERT. OF NURSING

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

4848 San Felipe Rd
301
San Jose, CA 95135-1276

Phone

(408) 315-1179

Fax

(408) 279-2955

NPI assigned

Jul 17, 2008

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

Credentials

Bachelor of Science

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216252800000",
    "number": "1568626679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4848 SAN FELIPE RD",
            "address_2": "301",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951351276",
            "telephone_number": "408-315-1179",
            "fax_number": "408-279-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4848 SAN FELIPE RD",
            "address_2": "301",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951351276",
            "telephone_number": "408-315-1179",
            "fax_number": "408-279-2955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUDUMU",
        "first_name": "MWEZO",
        "name_prefix": "Mr.",
        "credential": "BS, CERT. OF NURSING",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-17",
        "last_updated": "2008-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James J Kubinec, DC
• Antoni Thadeus Kubinski
• K Robyn Kubo-Manley, DC
• Jacob Ryan Kuch
• Paul Kuczwara
• Lynn Kuehn
• Joseph Edward Kuhar, D.D.S.
• Jill Kuhl, MSPT, DPT
• Ninoslava Kuhn
• Garima Kukreti

• Personal Care Attendant in San Jose, CA
• Providers in San Jose, CA by specialty
• Personal Care Attendant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; 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.