What is Kingsley Johnetebom's NPI number?

Kingsley Johnetebom's National Provider Identifier (NPI) is 1346137866, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kingsley Johnetebom's specialty?

Kingsley Johnetebom is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).

Where is Kingsley Johnetebom located?

Kingsley Johnetebom's practice location on file with NPPES is 545 Estudillo Ave, San Leandro, CA 94577-4611.

What is Kingsley Johnetebom's phone number?

The practice phone number listed in the NPPES registry for Kingsley Johnetebom is (510) 309-0003.

Is Kingsley Johnetebom's NPI active?

Yes — Kingsley Johnetebom's NPI (1346137866) is active in the NPPES registry as of the last update on 2025-06-18.

IndividualActive

Kingsley Johnetebom, RN

NPI 1346137866 · Registered Nurse · San Leandro, CA

Kingsley Johnetebom, RN is a Registered Nurse provider in San Leandro, CA (NPI 1346137866).

Provider details

NPI number: 1346137866
Entity type: Individual
Primary specialty: Registered NurseNursing Service Providers
Credential: RN
Sex: Male
Sole proprietor: Yes
License: 95413311 (CA)

Specialties & taxonomies

Registered NursePrimary163W00000XLicense 95413311 (CA)
Nursing Service Providers

Profile Score

Established profile(54/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
1 yr in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

545 Estudillo Ave

San Leandro, CA 94577-4611

Phone: (510) 309-0003

Street-level locationGet directions

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Mailing address