Jotham Kahoro Gikuhi, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95006950 Issued in CA

Practice address

983 Sonoma Ave
Santa Rosa, CA 95404-4818

Phone

(707) 583-8700

Fax

(707) 303-4066

NPI assigned

Jan 31, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 2

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

San Francisco Emergency Medical AssociatesGroup PAC ID 5698662518, 74 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jgikuhi383688@hisp.ehr.sutterhealth.org

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.

• San Francisco Emergency Medical Associates

  • Emergency Medicine Physician
  • San Francisco, CA
  • NPI 1134110661
  Medicare reassignment Care Compare group NPD
• Sutter Bay Medical Foundation

  • Multi-Specialty Clinic/Center
  • Palo Alto, CA
  • NPI 1013950807
  Medicare reassignment
• Annadel Medical Group, Inc

  • Pediatrics Physician
  • Santa Rosa, CA
  • NPI 1114177425
  NPD (past)

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

{
    "created_epoch": "1485820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1780121582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14761",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954026761",
            "telephone_number": "707-623-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "983 SONOMA AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044818",
            "telephone_number": "707-583-8700",
            "fax_number": "707-303-4066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8911 Lakewood Dr Ste 13",
            "address_purpose": "LOCATION",
            "city": "Windsor",
            "state": "CA",
            "postal_code": "954927857",
            "country_code": "US",
            "telephone_number": "707-387-3910",
            "fax_number": "707-836-1942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIKUHI",
        "first_name": "JOTHAM",
        "middle_name": "KAHORO",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-31",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CA",
            "license": "86958",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95006950",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "740595",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgikuhi1648010@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1162 Montgomery Dr",
            "city": "Santa Rosa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "954054802",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgikuhi1648010@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "905 E Washington St",
            "city": "Petaluma",
            "state": "CA",
            "country_code": "US",
            "postal_code": "949523389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carol Suzanne Gieg, LCSW
• Sophia Giegerich, AMFT
• Timothy Louis Gieseke, M.D.
• Breanna Leigh Gieseker, CMT
• Eli Gifford, AMFT
• Eugenia Maria Gil, FNP-BC
• Danielle Marie-Caballero Gilardi
• Robert Scott Gilbaugh, DDS
• Derek Gilbert
• Emily Gilbert, LCSW

• Nurse Practitioner in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.