WATSON KAMBENJA
NPI 1720969181
Nurse Practitioner - Gerontology in South Lake Tahoe, CA

Q: What is Watson Kambenja's NPI number?

The NPI number for Watson Kambenja is 1720969181. It was assigned to this individual provider in the NPPES registry on September 10, 2025.

Q: What is Watson Kambenja's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Watson Kambenja was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since September 10, 2025

PO BOX 7899, SOUTH LAKE TAHOE, CA 96158(916) 644-0951 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Watson Kambenja NPPES

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

WATSON KAMBENJA (NPI 1720969181) is an individual gerontology provider in South Lake Tahoe, California, licensed in California (95036777) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1720969181

Entity TypeIndividualMale

Primary Taxonomy363LG0600X

Provider Legal NameWATSON KAMBENJA

Location AddressPO BOX 7899South Lake Tahoe, CA 96158-0899

Mailing Address3408 Chatham StRocklin, CA 95765-1766 · (530) 318-4889

Phone(916) 644-0951

Sole ProprietorYes

Enumeration DateSeptember 10, 2025

NPPES CertifiedSeptember 10, 2025

✔ NPI 1720969181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in CA · 95036777

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Watson Kambenja's NPI number?

The NPI number for Watson Kambenja is 1720969181. It was assigned to this individual provider in the NPPES registry on September 10, 2025.

Where is Watson Kambenja located?

Watson Kambenja practices at PO Box 7899, South Lake Tahoe, CA 96158. The listed phone number is (916) 644-0951.

What is Watson Kambenja's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Watson Kambenja was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.