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

Individual provider Gerontology Nurse Practitioner · NPI 1720969181

Watson Kambenja is a Gerontology Nurse Practitioner in South Lake Tahoe, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025
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Practice location PO Box

The provider listed a PO Box rather than a street location, so this is not a walk-in address.

PO Box 7899
South Lake Tahoe, CA 96158-0899
Phone: (916) 644-0951
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 95036777 (CA)

Record details

NPI number1720969181
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 10, 2025
Last updated in NPPESSeptember 10, 2025
Certification dateSeptember 10, 2025