Individual provider Active NPI

Jane Wanjiru Ngugi

  • Registered Nurse
  • San Bernardino, CA
National Provider Identifier
1821613977
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
797481 Issued in CA
Practice address
4595 Bronson St
San Bernardino, CA 92407-6815
NPI assigned
Jun 15, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 797481 CA Primary

Addresses

Primary practice location

4595 Bronson St
San Bernardino, CA 92407-6815

Mailing address

4595 Bronson St
San Bernardino, CA 92407-6815
Phone (909) 379-8881

Other practice location 1

4595 Bronson St
san bernardino, CA 92407-6815

Other practice location 2

4595 bronson st
san bernardino, CA 92407-6815

Other practice location 3

4595 Bronson St
San Bernardino, CA 92407-6815

Other practice location 4

4595 Bronson St
San Bernardino, CA 92407-6815

Other practice location 5

4595 bronson st
san bernardino, CA 92407-6815

Other practice location 6

4595 Bronson St
San Bernardino, CA 92407-6815

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
797481CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1821613977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4595 BRONSON ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924076815",
            "telephone_number": "909-379-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4595 BRONSON ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924076815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4595 Bronson St",
            "address_purpose": "LOCATION",
            "city": "san bernardino",
            "state": "CA",
            "postal_code": "924076815",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4595 bronson st",
            "address_purpose": "LOCATION",
            "city": "san bernardino",
            "state": "CA",
            "postal_code": "924076815",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4595 Bronson St",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924076815",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4595 Bronson St",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924076815",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4595 bronson st",
            "address_purpose": "LOCATION",
            "city": "san bernardino",
            "state": "CA",
            "postal_code": "924076815",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4595 Bronson St",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924076815",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUGI",
        "first_name": "JANE",
        "middle_name": "WANJIRU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-15",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "797481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; 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.