Active NPI
Edith Nyambura Kimotho
- Licensed Vocational Nurse
- Rancho Cordova, CA
National Provider Identifier
1609496173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- VN760912
- Practice address
- 12340 Alamosa Dr
Rancho Cordova, CA 95742-6793 - Phone
- (469) 782-4241
- NPI assigned
- Apr 24, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | VN760912 | CA | Primary |
Addresses
Primary practice location
12340 Alamosa Dr
Rancho Cordova, CA 95742-6793
Mailing address
12340 Alamosa Dr
Rancho Cordova, CA 95742-6793
Phone (469) 782-4241
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 |
|---|---|---|---|
| 352608 | TX | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1609496173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12340 ALAMOSA DR",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "957426793",
"telephone_number": "469-782-4241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12340 ALAMOSA DR",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "957426793",
"telephone_number": "469-782-4241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMOTHO",
"first_name": "EDITH",
"middle_name": "NYAMBURA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-24",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "VN760912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Cordova, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.