Individual provider Active NPI

Grace Wanjiru Kanini

  • Registered Nurse
  • Lathrop, CA
National Provider Identifier
1821901281
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
95373144 Issued in CA
Practice address
3103 Bosworth St
Lathrop, CA 95330-7953
Phone
(510) 418-7821
NPI assigned
Sep 25, 2026
Last updated
Sep 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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 95373144 CA Primary

Addresses

Primary practice location

3103 Bosworth St
Lathrop, CA 95330-7953

Mailing address

3103 Bosworth St
Lathrop, CA 95330-7953
Phone (510) 418-7821

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790294400000",
    "number": "1821901281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3103 BOSWORTH ST",
            "city": "LATHROP",
            "state": "CA",
            "postal_code": "953307953",
            "telephone_number": "510-418-7821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3103 BOSWORTH ST",
            "city": "LATHROP",
            "state": "CA",
            "postal_code": "953307953",
            "telephone_number": "510-418-7821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANINI",
        "first_name": "GRACE",
        "middle_name": "WANJIRU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-25",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95373144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lathrop, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.