Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bob Idris Mutebi

Individual provider General Practice Registered Nurse · NPI 1134076441

Bob Idris Mutebi is a General Practice Registered Nurse in Lathrop, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

18245 Millbrook Ave
Lathrop, CA 95330-9234
Phone: (310) 985-2530
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Registered Nurse (primary) Taxonomy 163WG0000X · Licence 95045550 (CA)

Record details

NPI number1134076441
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 16, 2026
Last updated in NPPESMarch 16, 2026
Certification dateMarch 15, 2026

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