WATSON KAMBENJA
NPI 1720969181
Nurse Practitioner - Gerontology in South Lake Tahoe, CA
NPI Status: Active since September 10, 2025
Contact Information
PO BOX 7899
SOUTH LAKE TAHOE, CA
ZIP 96158
Phone: (916) 644-0951
- Individual
- Male
- Nurse Practitioner
- Gerontology
About WATSON KAMBENJA
This page provides the complete NPI Profile along with additional information for Watson Kambenja, a provider established in South Lake Tahoe, California with a medical specialization in Nurse Practitioner, focusing in gerontology . The healthcare provider is registered in the NPI registry with number 1720969181 assigned on September 2025. The practitioner's primary taxonomy code is 363LG0600X with license number 95036777 (CA). The provider is registered as an individual and his NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization.
- NPI
- 1720969181
- Provider Name
- WATSON KAMBENJA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- PO BOX 7899 SOUTH LAKE TAHOE, CA 96158
- Location Phone
- (916) 644-0951
- Mailing Address
- 3408 CHATHAM ST ROCKLIN, CA 95765
- Mailing Phone
- (530) 318-4889
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-10-2025
- Last Update Date
- 09-10-2025
- Code Navigator
A nurse practitioner (NP) like Watson Kambenja is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
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
Nurse Practitioner Gerontology
- Taxonomy Code
- 363LG0600X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 95036777
- License State
- CA
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1720969181, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 69 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720969181, enumerated as an "individual" on September 10, 2025.
The provider is located at PO BOX 7899 SOUTH LAKE TAHOE, CA 96158 and the phone number is (916) 644-0951.
Nurse Practitioner with taxonomy code 363LG0600X and a focus in Gerontology.
