Tom Mutungi Kasivau

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

742205 Issued in CA

Practice address

25089 River Peak Dr
Menifee, CA 92586-5222

Phone

(562) 686-3537

NPI assigned

Aug 27, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1756252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1699653501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25089 RIVER PEAK DR",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925865222",
            "telephone_number": "562-686-3537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25089 RIVER PEAK DR",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925865222",
            "telephone_number": "562-686-3537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASIVAU",
        "first_name": "TOM",
        "middle_name": "MUTUNGI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-27",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "742205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Marie Kaminski, PT DPT
• Elijah Kihara Kamotho
• Susan Kamotho
• Sangwon Kang
• Stanley Karanja Kariuki
• Ashley Keeton
• Evelyn G Kelley
• Richard George Kennedy, D.D.S.
• Sandra Michel Keroles
• Kelsey Taylor Kesel, DPT

• Licensed Vocational Nurse in Menifee, CA
• Providers in Menifee, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.