=====================================================
General NPI Number Information
=====================================================
NPI Number | 1740124544
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | NAOMI KAWABATA RN
-----------------------------------------------------
Gender |
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/14/2026
-----------------------------------------------------
Last Update Date | 04/14/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1600 GREEN HILLS RD
-----------------------------------------------------
City | SCOTTS VALLEY
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95066-4981
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 800-700-3874
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 980 62ND ST
-----------------------------------------------------
City | OAKLAND
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94608-1342
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163WC1500X
-----------------------------------------------------
Taxonomy Name | Community Health Registered Nurse
-----------------------------------------------------
License Number | 756803
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------