JURIAN TYLER EDELENBOS DO
NPI 1124967211
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Active since March 25, 2026
2315 STOCKTON BLVD, SACRAMENTO, CA 95817(916) 734-2680 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jurian Tyler Edelenbos Do NPPES

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

JURIAN TYLER EDELENBOS DO (NPI 1124967211) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1124967211
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJURIAN TYLER EDELENBOSCredential: DO
Location Address2315 STOCKTON BLVDSacramento, CA 95817-2201
Mailing Address2315 Stockton BlvdSacramento, CA 95817-2201 · (916) 734-2680
Sole ProprietorYes
Enumeration DateMarch 25, 2026
NPPES CertifiedMarch 25, 2026
NPI 1124967211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2315 STOCKTON BLVD, Sacramento, CA 95817

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Registered Nurse
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Emergency Medicine
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Specialist
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Student in an Organized Health Care Education/Training Program
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Surgery (Pediatric Surgery)
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Physical Therapy Assistant
2315 STOCKTON BLVD, ROOM 0512
SACRAMENTO, CA 95817
Occupational Therapist
2315 STOCKTON BLVD
SACRAMENTO, CA 95817

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 Jurian Edelenbos's NPI number?

The NPI number for Jurian Edelenbos is 1124967211. It was assigned to this individual provider in the NPPES registry on March 25, 2026.

Where is Jurian Edelenbos located?

Jurian Edelenbos practices at 2315 Stockton Blvd, Sacramento, CA 95817. The listed phone number is (916) 734-2680.

What is Jurian Edelenbos's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jurian Edelenbos was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.