Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JEROME UNTALAN ANCHETA
NPI 1396651402
Licensed Vocational Nurse in Redlands, CA

Q: What is Jerome Ancheta's NPI number?

The NPI number for Jerome Ancheta is 1396651402. It was assigned to this individual provider in the NPPES registry on August 19, 2026.

Q: What is Jerome Ancheta's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

Q: When was this NPI record last updated?

The NPPES record for Jerome Ancheta was last updated on August 20, 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.

Active since August 19, 2026

26001 REDLANDS BLVD, REDLANDS, CA 92373(909) 825-7084 Get Directions Write a Review

NPPES record added: August 20, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Jerome Untalan Ancheta NPPES

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

JEROME UNTALAN ANCHETA (NPI 1396651402) is an individual licensed vocational nurse in Redlands, California, licensed in California (709310) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1396651402

Entity TypeIndividualMale

Primary Taxonomy164X00000X

Provider Legal NameJEROME UNTALAN ANCHETA

Location Address26001 REDLANDS BLVDRedlands, CA 92373-7762

Mailing Address5231 Eureka AveBanning, CA 92220-1324

Phone(909) 825-7084

Sole ProprietorYes

Enumeration DateAugust 19, 2026

Last NPPES UpdateAugust 20, 2026

NPPES CertifiedAugust 20, 2026

✔ NPI 1396651402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers

Taxonomy Code164X00000X

License✔ Licensed in CA · 709310

Definition

A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

26001 REDLANDS BLVD, Redlands, CA 92373

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

FAITH REYNOLDS

Social Worker (Clinical)