Justin Ngari Nderitu, MSN, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

708281 Issued in CA

Practice address

153 W Santa Cruz Way
Mountain House, CA 95391-1178

Phone

(574) 360-4833

NPI assigned

Apr 22, 2025

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 22, 2025.

{
    "created_epoch": "1745280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1669269668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 W SANTA CRUZ WAY",
            "city": "MOUNTAIN HOUSE",
            "state": "CA",
            "postal_code": "953911178",
            "telephone_number": "574-360-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 W SANTA CRUZ WAY",
            "city": "MOUNTAIN HOUSE",
            "state": "CA",
            "postal_code": "953911178",
            "telephone_number": "574-360-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NDERITU",
        "first_name": "JUSTIN",
        "middle_name": "NGARI",
        "name_prefix": "Mr.",
        "credential": "MSN, RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-22",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "708281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bibi Khatira Masoomi
• Fawad Meskienyar
• Microtel LLC
• Stephanie Anne Mohtashemi, AMFT
• Teresa Marie Nava-Anderson, PHD, CD(DONA)
• Kaleb Paul
• Isabela Loredana Putzlacher, DDS
• Trung Ha Quach, AT
• Nirmala Ramachandran, D.D.S.
• Tejdeep Singh Rattan, DDS

• All providers in Mountain House, CA
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.