Individual provider · Type 1 NPI

Tom Mutungi Kasivau

Licensed Vocational Nurse · Menifee, CA

NPI number 1699653501 Active

Practice location

25089 River Peak Dr
Menifee, CA 92586-5222

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X742205 (CA)

Licensed Vocational Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

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About NPI 1699653501

Tom Mutungi Kasivau's National Provider Identifier is 1699653501, issued on Aug 27, 2025. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Menifee, CA. The record was last updated on Aug 27, 2025.