Individual provider Active NPI

Kwabena Sarkodie-Mensah, LVN

  • Licensed Vocational Nurse
  • Long Beach, CA
National Provider Identifier
1811256829
Registry record updated Aug 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
VN264129 Issued in CA
Practice address
3520 Long Beach Blvd
Ste. 205
Long Beach, CA 90807-3906
Phone
(562) 426-5035
NPI assigned
May 10, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X VN264129 CA Primary

Addresses

Primary practice location

3520 Long Beach Blvd
Ste. 205
Long Beach, CA 90807-3906

Mailing address

3520 Long Beach Blvd
Ste. 205
Long Beach, CA 90807-3906
Phone (562) 426-5035

Other names 1

  • Mr. Kobby Mensah Other name

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
VN264129CAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375747200000",
    "number": "1811256829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 LONG BEACH BLVD",
            "address_2": "STE. 205",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073906",
            "telephone_number": "562-426-5035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 LONG BEACH BLVD",
            "address_2": "STE. 205",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073906",
            "telephone_number": "562-426-5035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARKODIE-MENSAH",
        "first_name": "KWABENA",
        "name_prefix": "Mr.",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-10",
        "last_updated": "2013-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN264129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KOBBY",
            "last_name": "MENSAH",
            "prefix": "MR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; 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.