Individual provider Active NPI

Roy Gitau Kuria

  • Registered Nurse
  • Moreno Valley, CA
National Provider Identifier
1871227959
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
804680 Issued in CA
Practice address
27730 Sand Dollar Way
Moreno Valley, CA 92555-5766
Phone
(951) 300-8295
NPI assigned
Jul 13, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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 804680 CA Primary

Addresses

Primary practice location

27730 Sand Dollar Way
Moreno Valley, CA 92555-5766

Mailing address

27730 Sand Dollar Way
Moreno Valley, CA 92555-5766
Phone (951) 300-8295

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
804680CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1871227959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27730 SAND DOLLAR WAY",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925555766",
            "telephone_number": "951-300-8295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27730 SAND DOLLAR WAY",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925555766",
            "telephone_number": "951-300-8295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURIA",
        "first_name": "ROY",
        "middle_name": "GITAU",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-13",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "804680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.