Grace I Wanjiru, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95096405 Issued in CA

Practice address

3378 Nimes LN
Riverside, CA 92503-8906

Phone

(714) 234-0504

Fax

(714) 234-0504

NPI assigned

Dec 6, 2010

Last updated

May 25, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1770886251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3378 NIMES LN",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925038906",
            "telephone_number": "714-234-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3378 NIMES LN",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925038906",
            "telephone_number": "714-234-0504",
            "fax_number": "714-234-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANJIRU",
        "first_name": "GRACE",
        "middle_name": "I",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-06",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95096405",
            "primary": true
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN 234062",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ye Wang
• Zheng Wang, MD
• Zhengran Wang, DO
• Peerapol Wangrattanapranee, MD
• Nolan D. Wangsnes, DNP, FNP
• Cassandra Alyce Ward
• Daniel Kenichi Ward
• Natela Ward
• Sonia Marie Ward, RN
• Shari Anne Wardle

• Registered Nurse in Riverside, CA
• Providers in Riverside, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.