Individual provider Active NPI

Richard Nzioka Musina, REGISTERED NURSE

  • Medical-Surgical Registered Nurse
  • Anaheim, CA
National Provider Identifier
1609519768
Registry record updated Apr 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical-Surgical Registered NurseTaxonomy code 163WM0705X
License
95257430 Issued in CA
Practice address
2855 W Lincoln Ave Apt 106
Anaheim, CA 92801-8200
Phone
(714) 932-0576
NPI assigned
Apr 17, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WM0705X 95257430 CA Primary

Addresses

Primary practice location

2855 W Lincoln Ave Apt 106
Anaheim, CA 92801-8200

Mailing address

2855 W Lincoln Ave Apt 106
Anaheim, CA 92801-8200
Phone (714) 932-0576

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

LicenseStateTypeSpecialty
95257430CAMDMedical-Surgical Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1650153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650153600000",
    "number": "1609519768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 W LINCOLN AVE APT 106",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928018200",
            "telephone_number": "714-932-0576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 W LINCOLN AVE APT 106",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928018200",
            "telephone_number": "714-932-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSINA",
        "first_name": "RICHARD",
        "middle_name": "NZIOKA",
        "name_prefix": "Mr.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-17",
        "last_updated": "2022-04-17",
        "certification_date": "2022-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "CA",
            "license": "95257430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2022; 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.