Active NPI
Joseph Mulindwa
- Emergency Registered Nurse
- Rohnert Park, CA
National Provider Identifier
1609546514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Registered Nurse
- License
- 712724
- Practice address
- 1821 Kelly PL
Rohnert Park, CA 94928-5036 - Phone
- (707) 478-6534
- NPI assigned
- Sep 14, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | 712724 | CA | Primary |
Addresses
Primary practice location
1821 Kelly PL
Rohnert Park, CA 94928-5036
Mailing address
1821 Kelly PL
Rohnert Park, CA 94928-5036
Phone (707) 478-6534
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 |
|---|---|---|---|
| 712724 | CA | MD | Emergency Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Critico Ambulance LLC | Current | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631577600000",
"number": "1609546514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1821 KELLY PL",
"city": "ROHNERT PARK",
"state": "CA",
"postal_code": "949285036",
"telephone_number": "707-478-6534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1821 KELLY PL",
"city": "ROHNERT PARK",
"state": "CA",
"postal_code": "949285036",
"telephone_number": "707-478-6534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULINDWA",
"first_name": "JOSEPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-09-14",
"last_updated": "2021-09-14",
"certification_date": "2021-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "163WE0003X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Emergency",
"state": "CA",
"license": "712724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rohnert Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.