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MR. JEDIDIAH VANG
NPI 1619786761
Day Training/Habilitation Specialist in West Sacramento, CA

Active since January 03, 2025
3050 BEACON BLVD STE 150, WEST SACRAMENTO, CA 95691(916) 462-3100 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 10, 2025, Jan 3, 2025 (2 updates tracked since 2025).

About Mr. Jedidiah Vang NPPES

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

MR. JEDIDIAH VANG (NPI 1619786761) is an individual day training/habilitation specialist in West Sacramento, California and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1619786761
Entity TypeIndividualMale
Primary Taxonomy373H00000X
Provider Legal NameMR. JEDIDIAH VANG
Location Address3050 BEACON BLVD STE 150West Sacramento, CA 95691-3467
Mailing Address3908 33rd StSacramento, CA 95820-1220 · (916) 279-4671
Phone(916) 462-3100
Sole ProprietorNo
Enumeration DateJanuary 3, 2025
Last NPPES UpdateApril 10, 20252 updates tracked since enumeration
NPPES CertifiedApril 10, 2025
✔ NPI 1619786761 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.
3050 BEACON BLVD STE 150, West Sacramento, CA 95691
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Other Providers at the Same Location NPPES

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

JASON WILLIAM HARANO-FONG
Day Training/Habilitation Specialist
3050 BEACON BLVD STE 150
WEST SACRAMENTO, CA 95691
Yolo County (916) 273-0775

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 Jedidiah Vang's NPI number?

The NPI number for Jedidiah Vang is 1619786761. It was assigned to this individual provider in the NPPES registry on January 3, 2025.

Where is Jedidiah Vang located?

Jedidiah Vang practices at 3050 Beacon Blvd Ste 150, West Sacramento, CA 95691. The listed phone number is (916) 462-3100.

What is Jedidiah Vang'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 Jedidiah Vang was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.