Jackie Kagwa, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95401886 Issued in CA

Practice address

4131 Pearl St
Lake Elsinore, CA 92530-2026

Phone

(302) 540-7604

NPI assigned

Sep 10, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aoc FL, LLC

  • Home Health Agency
  • Spring Hill, FL
  • NPI 1538704671
  NPD (past)
• Aoc TX, LLC

  • Home Health Agency
  • Sherman, TX
  • NPI 1952346876
  NPD (past)

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1952916652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 PEARL ST",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925302026",
            "telephone_number": "302-540-7604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 PEARL ST",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925302026",
            "telephone_number": "302-540-7604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAGWA",
        "first_name": "JACKIE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-10",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95401886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristal Topacio Juarez
• Samantha Juarez
• Rona Juliano
• Naomi Juloya
• Florence Kaguanja, LVN
• Kamali'I Foster Family Agency, Inc.
• Angel Danielle Kanagushiku, DOULA
• Anthony Kangethe
• Samson Kiarie Kangiri
• Katy Chou D D S Dental Corp

• Registered Nurse in Lake Elsinore, CA
• Providers in Lake Elsinore, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.