ANN WANJIRU MAMBO


Address: 2401 E Katella Ave Ste 440, Anaheim, CA 92806-5982
Phone: 7145779656

ANN WANJIRU MAMBO (NPI# 1851857783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851857783
Entity Type Individual
Full Name ANN WANJIRU MAMBO
Credential NP
Practice Address 2401 E Katella Ave Ste 440
Anaheim
CA 92806-5982
Practice Telephone 7145779656
Mailing Telephone 7145779656
Enumeration Date 2019-02-15
Last Update Date 2019-02-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
95010693 CA Physician Assistants & Advanced Practice Nursing Providers
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
95010693 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2401 E KATELLA AVE STE 440
City ANAHEIM
State CA
Zip Code 92806-5982

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134226038 Hospice Care of America, LLC Hospice Care, Community Based 2401 E Katella Ave Ste 440, Anaheim, CA 92806-5982 2006-09-20
1760909147 Hospice Care of America, LLC Internal Medicine 2401 E Katella Ave Ste 440, Anaheim, CA 92806 2017-08-25
1518401918 Hospice Care of America, LLC Hospice Care, Community Based 2401 E Katella Ave Ste 440, Anaheim, CA 92806-5982 2016-12-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619513611 Krista Mckinney Family Medicine 344o E. La Palma Avenue, Anaheim, CA 92806 2019-11-25
1780175968 Brooke Lindsay Owen Specialist/Technologist 1300 N. Kraemer Blvd, Anaheim, CA 92806 2018-05-23
1033631973 Biocorrx Inc. Rehabilitation, Substance Use Disorder Unit 2390 E Orangewood Avenue, Suite 575, Anaheim, CA 92806 2017-07-12
1437679784 Margaret Elena Popp Counselor Adult and Older Adult Behavioral Health Services, 2035 E. Ball Rd, Anaheim, CA 92806 2017-06-27
1982134581 Jessica Nguyen Pharmacist 2833 E Randy Ave, Anaheim, CA 92806 2017-06-15
1518493733 Oksana Pradun Nurse Practitioner 2111 East Ball Rd., Anaheim, CA 92806 2017-05-08
1568828754 Sanah Qureshi Nurse Anesthetist, Certified Registered 2546 E Strong Pl, Anaheim, CA 92806 2016-01-05
1689050379 Wu Chiropractic Care, Inc. Acupuncturist 215 N State College Blvd., #b, Anaheim, CA 92806 2015-08-04
1659757375 Jonathan Song Dentist 1134 N State College Blvd Ste C, Anaheim, CA 92806 2015-08-04
1558764761 Mariko Horie Acupuncturist 504 N State College Blvd, Anaheim, CA 92806 2014-10-01
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

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1457986168 Maritza J Lira Nurse Practitioner 23141 Verdugo Dr Ste 201, Laguna Hills, CA 92653-1341 2020-03-03
1225677198 Shannon Ha Duyen Sicat Nurse Practitioner 2617 E Chapman Ave Ste 109, Orange, CA 92869-3245 2019-12-24
1528605961 Elsa L Pineda-flores Nurse Practitioner 1513 S Grand Ave Ste 306, Los Angeles, CA 90015-3075 2019-12-04
1447895073 Kemi Osilesi Nurse Practitioner 1943 Seasons St, Simi Valley, CA 93065-0580 2019-11-07
1487297107 Fareeha Sipra Nurse Practitioner Fresno County Jail, 1225 M Street, Fresno, CA 93721 2019-10-25
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Competitor

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City ANAHEIM
Zip Code 92806

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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