CHRISTIAN KENSHIN JOB
NPI 1083413058
Registered Nurse - Administrator in Lakeport, CA

Active since March 11, 2025
925 BEVINS CT, LAKEPORT, CA 95453(707) 263-8382 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Christian Kenshin Job NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRISTIAN KENSHIN JOB (NPI 1083413058) is an individual administrator provider in Lakeport, California, licensed in California (701025) and active in the NPI registry since March 2025. He maintains a secondary practice location in Clearlake.

NPPES Registry Identity

NPI1083413058
Entity TypeIndividualMale
Primary Taxonomy163WA2000X
Provider Legal NameCHRISTIAN KENSHIN JOB
Location Address925 BEVINS CTLakeport, CA 95453-9754
Mailing Address925 Bevins CtLakeport, CA 95453-9754 · (707) 263-8382
Sole ProprietorNo
Enumeration DateMarch 11, 2025
NPPES CertifiedMarch 11, 2025
NPI 1083413058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyRegistered Nurse · AdministratorNursing Service Providers
Taxonomy Code163WA2000X
License Licensed in CA · 701025
Also ListedRegistered Nurse · Ambulatory CareTaxonomy 163WP2201X · License 701025 (CA)
Also ListedRegistered Nurse · Wound CareTaxonomy 163WW0000X · License 701025 (CA)
925 BEVINS CT, Lakeport, CA 95453

Secondary Practice Location 1

Location 114440 Olympic DrClearlake, CA 95422-8809 · Phone (707) 263-8382

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
925 BEVINS CT
LAKEPORT, CA 95453
Registered Nurse (General Practice)
925 BEVINS CT
LAKEPORT, CA 95453
Health Educator
925 BEVINS CT
LAKEPORT, CA 95453
Dentist
925 BEVINS CT
LAKEPORT, CA 95453
Marriage & Family Therapist
925 BEVINS CT
LAKEPORT, CA 95453
Nurse Practitioner
925 BEVINS CT
LAKEPORT, CA 95453
Nurse Practitioner (Family)
925 BEVINS CT
LAKEPORT, CA 95453
Physical Therapist
925 BEVINS CT
LAKEPORT, CA 95453

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Christian Job's NPI number?

The NPI number for Christian Job is 1083413058. It was assigned to this individual provider in the NPPES registry on March 11, 2025.

Where is Christian Job located?

Christian Job practices at 925 Bevins Ct, Lakeport, CA 95453. The listed phone number is (707) 263-8382.

What is Christian Job's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Administrator, with taxonomy code 163WA2000X.

When was this NPI record last updated?

The NPPES record for Christian Job was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.