# LUMIRA NURSING CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LUMIRA HEALTH AND WELLNESS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285422527
- **Authorized official:** JUDITH KIBUH NP (CEO/PRESIDENT)
- **Authorized official phone:** (408) 614-9504

## Contact information

- **Practice address:** 28 N 4TH ST UNIT 2411, SAN JOSE, CA 95112-6178
- **Practice address phone:** (408) 614-9504
- **Mailing address:** 28 N 4TH ST UNIT 2411, SAN JOSE, CA 95112-6178
- **Mailing address phone:** (408) 614-9504

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |
| 261QI0500X | Infusion Therapy Clinic/Center | — | NULL | — |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/28/2025
- **Last updated:** 08/27/2025