Edwin M Gituma, is a
Licensed Vocational Nurse based in Emeryville, California. Edwin M Gituma is licensed to practice in California (license number 725270) and his current practice location is
2000 Powell St Ste 900, Emeryville, California. He can be reached at his office (for appointments etc.) via phone at
(510) 982-3773.
NPI number for Edwin M Gituma is 1164110516 and his current mailing address is 741 Fresno Ave, Santa Rosa, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164110516.
Provider's Profile
| Full Name | Edwin M Gituma |
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| Gender | Male |
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| Speciality | Licensed Vocational Nurse |
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| Location | 2000 Powell St Ste 900, Emeryville, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1164110516
- Provider Enumeration Date: 04/25/2023
- Last Update Date: 04/25/2023
Medical Identifiers
Medical identifiers for Edwin M Gituma such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164110516 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164X00000X | Licensed Vocational Nurse | 725270 (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. Edwin M Gituma 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 |
|---|
Edwin M Gituma,
741 Fresno Ave,
Santa Rosa, CA 95407-6680
Ph: () - | Edwin M Gituma,
2000 Powell St Ste 900,
Emeryville, CA 94608-1888
Ph: (510) 982-3773 |
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