JERRY YDEL ABENGANA NPI 1508647884

NPI Information

  • NPI: 1508647884
  • Provider Name: JERRY YDEL ABENGANA
  • Classification: Nursing Home Administrator - 376G00000X
  • Entity Type: Individual
  • Address: 3469 DURELLO CIR
    RANCHO CORDOVA, CA
    ZIP 95670
  • Phone: (916) 476-3555

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NPI Details

Jerry Ydel Abengana is a nursing home administrator in Rancho Cordova, CA. The provider is an individual, often licensed by the state, who is responsible for the management of a nursing home. Jerry Ydel Abengana NPI is 1508647884. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3469 DURELLO CIR
RANCHO CORDOVA, CA
ZIP 95670-913
Phone: (916) 476-3555

The enumeration date for this NPI number is 10/11/2023 and was last updated on 10/11/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1376G00000XNursing Home Administrator342701204CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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