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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

ANDRE DOMINICK FAJARDO
NPI 1114840956
Day Training/Habilitation Specialist in Sacramento, CA

Active since July 30, 2026
8243 E STOCKTON BLVD STE D, SACRAMENTO, CA 95828(888) 965-6647 Get Directions Write a Review

NPPES record added: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andre Dominick Fajardo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDRE DOMINICK FAJARDO (NPI 1114840956) is an individual day training/habilitation specialist in Sacramento, California and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1114840956
Entity TypeIndividualMale
Primary Taxonomy373H00000X
Provider Legal NameANDRE DOMINICK FAJARDO
Location Address8243 E STOCKTON BLVD STE DSacramento, CA 95828-8204
Mailing Address8243 E Stockton Blvd Ste DSacramento, CA 95828-8204 · (888) 965-6647
Phone(888) 965-6647
Sole ProprietorNo
Enumeration DateJuly 30, 2026
NPPES CertifiedJuly 30, 2026
✔ NPI 1114840956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers
Taxonomy Code373H00000X
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
8243 E STOCKTON BLVD STE D, Sacramento, CA 95828
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andre Fajardo's NPI number?

The NPI number for Andre Fajardo is 1114840956. It was assigned to this individual provider in the NPPES registry on July 30, 2026.

Where is Andre Fajardo located?

Andre Fajardo practices at 8243 E Stockton Blvd Ste D, Sacramento, CA 95828. The listed phone number is (888) 965-6647.

What is Andre Fajardo's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

When was this NPI record last updated?

The NPPES record for Andre Fajardo was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.