Watson Kambenja
NPI 1720969181 · Gerontology Nurse Practitioner · South Lake Tahoe, CA
Watson Kambenja is a Gerontology Nurse Practitioner provider in South Lake Tahoe, CA (NPI 1720969181).
Provider details
- NPI number
- 1720969181
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 95036777 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
Mailing address
Registry dates
- Enumerated
- 2025-09-10
- Last updated
- 2025-09-10
- Certified
- 2025-09-10
Frequently asked questions
- What is Watson Kambenja's NPI number?
- Watson Kambenja's National Provider Identifier (NPI) is 1720969181, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Watson Kambenja's specialty?
- Watson Kambenja is listed in the NPPES registry with a primary specialty of Gerontology Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Watson Kambenja located?
- Watson Kambenja's practice location on file with NPPES is Po Box 7899, South Lake Tahoe, CA 96158-0899.
- What is Watson Kambenja's phone number?
- The practice phone number listed in the NPPES registry for Watson Kambenja is (916) 644-0951.
- Is Watson Kambenja's NPI active?
- Yes — Watson Kambenja's NPI (1720969181) is active in the NPPES registry as of the last update on 2025-09-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.