Active NPI
Joseph K Muriithi, ACNPC-AG
- Pediatric Registered Nurse
- Baldwin Park, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Registered Nurse
- License
- 95321194
- Practice address
- 13264 Ramona Blvd Unit C
Baldwin Park, CA 91706-3882 - Phone
- (405) 535-1105
- NPI assigned
- May 24, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95026854 | CA | |
| Acute Care Nurse Practitioner | 363LA2100X | 71007277A | IN | |
| Pediatric Registered Nurse | 163WP0200X | 95321194 | CA | Primary |
Addresses
Primary practice location
13264 Ramona Blvd Unit C
Baldwin Park, CA 91706-3882
Mailing address
13264 Ramona Blvd Unit C
Baldwin Park, CA 91706-3882
Phone (405) 535-1105
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300007827 | Medicaid | IN | |
| 000001098390 | Other | IN | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark H Mazur MD & Barry Statner MD a Professional Corporation | Current | Accepting new patients |
Locations
2360 E Bidwell St
Ste 107
Folsom, CA 95630
Phone (916) 220-2951
4980 Barranca Pkwy
Ste 195
Irvine, CA 92604
Phone (949) 398-5280
1174 Castro St
Ste 150
Mountain View, CA 94040
24640 Jefferson Ave
Ste 208
Murrieta, CA 92562
Phone (951) 395-5457
301 S Fair Oaks Ave
Ste 304
Pasadena, CA 91105
Phone (626) 960-2711
15706 Pomerado Rd
Ste S202
Poway, CA 92064
2220 Lynn Rd
Ste 301
Thousand Oaks, CA 91360
Phone (805) 495-1073
130 La Casa Via
Ste 108
Walnut Creek, CA 94598
901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201
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.
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- Thousand Oaks, CA
- NPI 1376631341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718841600000",
"number": "1710415559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13264 RAMONA BLVD UNIT C",
"city": "BALDWIN PARK",
"state": "CA",
"postal_code": "917063882",
"telephone_number": "405-535-1105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13264 RAMONA BLVD UNIT C",
"city": "BALDWIN PARK",
"state": "CA",
"postal_code": "917063882",
"telephone_number": "405-535-1105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURIITHI",
"first_name": "JOSEPH",
"middle_name": "K",
"name_prefix": "Mr.",
"credential": "ACNPC-AG",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-05-24",
"last_updated": "2024-06-20",
"certification_date": "2024-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95026854",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "IN",
"license": "71007277A",
"primary": false
},
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": "CA",
"license": "95321194",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300007827",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000001098390",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baldwin Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.