Eunice Wanjugu Gachomo
Individual provider Active NPI Registered Nurse · Winchester, CA
NPI 1972104644 · NPPES record last updated Nov 8, 2020
Key facts
- NPI
- 1972104644
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 95045260 (CA)
- Practice address
- 31620 Pompei LN
Winchester, CA 92596-8695 - Phone
- (512) 415-9208
- NPI assigned
- Nov 8, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95045260 | CA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95045260 | CA | Yes |
Addresses
Primary practice location
31620 Pompei LN
Winchester, CA 92596-8695
Mailing address
31620 Pompei LN
Winchester, CA 92596-8695
Phone (512) 415-9208
Other providers in Winchester, CA
- First Winchester Care LLC
- Najla Flores
- Stephanie W Flores
- Flower Child Birth & Breastfeeding
- French Valley Vision Associates, Inc.
- Tammy Lynn Gallagher
- Alexandria Monique Gambrell
- Darrell Gambrell
- Andy Garcia
- Diana Garcia
All providers in Winchester, CA · Registered Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.