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JERRY YDEL ABENGANA
NPI 1508647884
Nursing Home Administrator in Rancho Cordova, CA

Active since October 11, 2023
3469 DURELLO CIR, RANCHO CORDOVA, CA 95670(916) 476-3555 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jerry Ydel Abengana NPPES

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

JERRY YDEL ABENGANA (NPI 1508647884) is an individual nursing home administrator provider in Rancho Cordova, California, licensed in California (342701204) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1508647884
Entity TypeIndividualMale
Primary Taxonomy376G00000X
Provider Legal NameJERRY YDEL ABENGANA
Location Address3469 DURELLO CIRRancho Cordova, CA 95670-6913
Mailing Address3469 Durello CirRancho Cordova, CA 95670-6913 · (916) 476-3555
Phone(916) 476-3555
Sole ProprietorNo
Enumeration DateOctober 11, 2023
NPPES CertifiedOctober 11, 2023
✔ NPI 1508647884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Home AdministratorNursing Service Related Providers
Taxonomy Code376G00000X
License✔ Licensed in CA · 342701204
Definition
An individual, often licensed by the state, who is responsible for the management of a nursing home.
3469 DURELLO CIR, Rancho Cordova, CA 95670
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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 Jerry Abengana's NPI number?

The NPI number for Jerry Abengana is 1508647884. It was assigned to this individual provider in the NPPES registry on October 11, 2023.

Where is Jerry Abengana located?

Jerry Abengana practices at 3469 Durello Cir, Rancho Cordova, CA 95670. The listed phone number is (916) 476-3555.

What is Jerry Abengana's specialty?

The primary specialty registered for this NPI is Nursing Home Administrator with taxonomy code 376G00000X.

When was this NPI record last updated?

The NPPES record for Jerry Abengana was last updated on October 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.