Mutudi Kapanga, is a
Behavior Technician physician based in Santa Clara, California. Mutudi Kapanga is licensed to practice in California (license number ) and her current practice location is 1171 Homestead Rd Ste 250, Santa Clara, California. She can be reached at her office (for appointments etc.) via phone at
(408) 320-2590.
NPI number for Mutudi Kapanga is 1649824780 and her current mailing address is 1171 Homestead Rd Ste 250, Santa Clara, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1649824780.
Physician's Profile
| Full Name | Mutudi Kapanga |
|---|
| Gender | Female |
|---|
| Speciality | Behavior Technician |
|---|
| Location | 1171 Homestead Rd Ste 250, Santa Clara, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1649824780
- Provider Enumeration Date: 07/26/2019
- Last Update Date: 07/29/2019
Medical Identifiers
Medical identifiers for Mutudi Kapanga such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649824780 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | F7367229 (California) | Secondary |
| 106S00000X | Behavior Technician | (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mutudi Kapanga is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mutudi Kapanga,
1171 Homestead Rd Ste 250,
Santa Clara, CA 95050-5485
Ph: () - | Mutudi Kapanga,
1171 Homestead Rd Ste 250,
Santa Clara, CA 95050-5485
Ph: (408) 320-2590 |
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