Individual provider Active NPI

Christopher Kiragu, RN

  • Medical-Surgical Registered Nurse
  • Temecula, CA
National Provider Identifier
1912382433
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical-Surgical Registered NurseTaxonomy code 163WM0705X
License
95046278 Issued in CA
Practice address
45483 Peacock PL
Temecula, CA 92592-4829
Phone
(858) 610-1986
NPI assigned
Jul 27, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WM0705X 95046278 CA Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X 95046278 CA

Addresses

Primary practice location

45483 Peacock PL
Temecula, CA 92592-4829

Mailing address

17195 W Bernardo Dr Unit 202
San Diego, CA 92127-1538
Phone (858) 610-1986

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
95046278CAMDPsychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1912382433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17195 W BERNARDO DR UNIT 202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271538",
            "telephone_number": "858-610-1986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45483 PEACOCK PL",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925924829",
            "telephone_number": "858-610-1986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRAGU",
        "first_name": "CHRISTOPHER",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-27",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "CA",
            "license": "95046278",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95046278",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.