WATSON KAMBENJA NPI 1720969181

NPI Information

  • NPI: 1720969181
  • Provider Name: WATSON KAMBENJA
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • Address: PO BOX 7899
    SOUTH LAKE TAHOE, CA
    ZIP 96158
  • Phone: (916) 644-0951

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NPI Details

Watson Kambenja is a gerontology nurse practitioner in South Lake Tahoe, CA. Watson Kambenja NPI is 1720969181. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

PO BOX 7899
SOUTH LAKE TAHOE, CA
ZIP 96158-899
Phone: (916) 644-0951

The enumeration date for this NPI number is 9/10/2025 and was last updated on 9/10/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LG0600XNurse PractitionerGerontology95036777CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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