Individual provider Active NPI

Annie Karanja

  • Registered Nurse
  • Moreno Valley, CA
National Provider Identifier
1669903621
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
638683 Issued in CA
Practice address
14908 Norfolk Cir
Moreno Valley, CA 92555-7064
Phone
(909) 389-8293
NPI assigned
Mar 22, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 638683 CA Primary

Addresses

Primary practice location

14908 Norfolk Cir
Moreno Valley, CA 92555-7064

Mailing address

25920 Iris Ave.
Suite 13a #147
Moreno Valley, CA 92551-1658
Phone (909) 389-8293

Other practice location 1

15660 Lasselle St
Apt O
Moreno Valley, CA 92551-6308
Phone (909) 389-8293

Other practice location 2

25920 Iris Ave.
Suite 13A #147
Moreno Valley, CA 92551-1658
Phone (909) 389-8293

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
638683CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1669903621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25920 IRIS AVE.",
            "address_2": "SUITE 13A #147",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925511658",
            "telephone_number": "909-389-8293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14908 NORFOLK CIR",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925557064",
            "telephone_number": "909-389-8293"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15660 Lasselle St",
            "address_2": "Apt O",
            "address_purpose": "LOCATION",
            "city": "Moreno Valley",
            "state": "CA",
            "postal_code": "925516308",
            "country_code": "US",
            "telephone_number": "909-389-8293",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25920 Iris Ave.",
            "address_2": "Suite 13A #147",
            "address_purpose": "LOCATION",
            "city": "Moreno Valley",
            "state": "CA",
            "postal_code": "925511658",
            "country_code": "US",
            "telephone_number": "909-389-8293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KARANJA",
        "first_name": "ANNIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "638683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.