John Langali Mwaengo, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

290496 Issued in AZ

Practice address

9455 Foulks Ranch Dr
Elk Grove, CA 95758-4320

Phone

(951) 322-9527

NPI assigned

Apr 10, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726963200000",
    "number": "1821551508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9455 FOULKS RANCH DR",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957584320",
            "telephone_number": "951-322-9527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9455 FOULKS RANCH DR",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957584320",
            "telephone_number": "951-322-9527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MWAENGO",
        "first_name": "JOHN",
        "middle_name": "LANGALI",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-10",
        "last_updated": "2024-09-22",
        "certification_date": "2024-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "PT41074",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "290496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "F7755199",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Boniface Muriu
• James Muriuki, RN
• Maysoon Mahmud Musbah, RN, FNP-BC
• Magdalena Elizabeth Mustafa Kanaan
• Fatima Mustafa
• Martin Mwangi
• My Time Movement
• Keith Chester Myers, PA-C
• Kevin Wade Myers, D.D.S.
• Madelynn Myers

• Registered Nurse in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2024; 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.