AMEDE B KYUBWA MA , MPA
NPI 1174654354
Rehabilitation Practitioner in Sacramento, CA
- Individual
- Male
- Rehabilitation Practitioner
About AMEDE KYUBWA
This page provides the complete NPI Profile along with additional information for Amede Kyubwa, a provider established in Sacramento, California with a medical specialization in Rehabilitation Practitioner. The healthcare provider is registered in the NPI registry with number 1174654354 assigned on March 2007. The practitioner's primary taxonomy code is 225400000X. The provider is registered as an individual and his NPI record was last updated June 2026.
- NPI
- 1174654354 Verify this NPI
- Provider Name
- AMEDE B KYUBWA MA , MPA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2150 STOCKTON BLVD SACRAMENTO, CA 95817
- Location Phone
- (916) 875-1000
- Mailing Address
- 2150 STOCKTON BLVD SACRAMENTO, CA 95817
- Mailing Phone
- (916) 875-1000
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-08-2007
- Last Update Date
- 06-20-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Rehabilitation Practitioner
- Taxonomy Code
- 225400000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License State
- CA
- Taxonomy Description
- A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 172V00000X | Other Service Providers | Community Health Worker | (CA) |
| 2 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program | (CA) |
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SACRAMENTO, CA 95817
SACRAMENTO, CA 95817
SACRAMENTO, CA 95817
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174654354, enumerated as an "individual" on March 08, 2007.
The provider is located at 2150 STOCKTON BLVD SACRAMENTO, CA 95817 and the phone number is (916) 875-1000.
Rehabilitation Practitioner with taxonomy code 225400000X.
