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

Kevin Juscamayta

Individual provider Rehabilitation Practitioner · NPI 1700717741

Kevin Juscamayta is a Rehabilitation Practitioner in San Jose, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026
Specialties on file
2

Practice location Address checks out

485 N 1st St
San Jose, CA 95112-4041
Phone: (510) 317-1444
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 95435404 (CA)
Rehabilitation Practitioner Taxonomy 225400000X · Licence RN95435404 (CA)

Record details

NPI number1700717741
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 27, 2026
Last updated in NPPESMay 28, 2026
Certification dateMay 28, 2026
Mailing address485 N 1st St, San Jose, CA 95112-4041

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