Judith Kibuh, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

95030563 Issued in CA

Practice address

6128 Camino Verde Dr Ste B
San Jose, CA 95119-1432

Phone

(669) 200-3996

NPI assigned

Aug 5, 2024

Last updated

Aug 27, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19831/brand/2/csg/1/fhir/r4
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lumira Nursing Corporation

  dba Lumira Health and Wellness

  • Primary Care Nurse Practitioner
  • San Jose, CA
  • NPI 1285422527
  NPD Authorized official
• California PHS PC

  • Family Medicine Physician
  • Santa Ana, CA
  • NPI 1649932781
  NPD
• J M Geiss DO Apc

  • Family Medicine Physician
  • Santa Ana, CA
  • NPI 1063825289
  NPD

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1811727712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 N 4TH ST UNIT 2411",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951126178",
            "telephone_number": "408-614-9504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6128 CAMINO VERDE DR STE B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951191432",
            "telephone_number": "669-200-3996"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "393 Blossom Hill Rd Ste 290",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951231654",
            "country_code": "US",
            "telephone_number": "408-461-9125",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28 N 4th St Unit 2411",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951126178",
            "country_code": "US",
            "telephone_number": "408-614-9504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIBUH",
        "first_name": "JUDITH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-05",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95030563",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95030563",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95030563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elliot Evan Yunhan Ki
• Aimee Kiang
• Esther Kiang
• Guita Kianian, D.C.
• Sharla Ruth Kibel, M.S., LMFT
• Colleen Kichula, MS,CCC-SLP
• Kidango
• Kidango
• Patricia McGinnis Kidd, MFCC
• Paul James Kidger, PT

• Primary Care Nurse Practitioner in San Jose, CA
• Providers in San Jose, CA by specialty
• Primary Care Nurse Practitioner 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.