MEDICARE: WINNIE NJAGI KAGENDO DNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	NP95031501	CA

General Provider Information

NPI Number	:	1093323859
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WINNIE NJAGI KAGENDO DNP

Provider Business Mailing Address
First Line	:	29471 TWINBERRY CIR
Second Line	:
City	:	MENIFEE
State	:	CA
Zip	:	92584-5214
Country	:	US
Telephone Number	:	909-780-2003
Fax Number	:

Provider Business Practice Location Address
First Line	:	711 W COLLEGE ST STE 188
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90012-1093
Country	:	US
Telephone Number	:	909-780-2003
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2020
Last Update Date	:	04/16/2026

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