Individual provider · Type 1 NPI

Kingsley Nosakhare Amenaghawon, B.S

Registered Nurse · San Leandro, CA

NPI number 1396669859 Active

Practice location

2050 Fairmont Drive, Building B
San Leandro, CA 94578

Call (510) 483-3030 Map

Mailing address

2050 Fairmont Dr Bldg B
San Leandro, CA 94578-1001

Specialties and licenses

Taxonomy	Code	License
Registered Nurse Primary	163W00000X	95363208 (CA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1396669859

Kingsley Nosakhare Amenaghawon, B.S's National Provider Identifier is 1396669859, issued on Aug 7, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in San Leandro, CA. The record was last updated on Aug 7, 2026.