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JACKIE LOU TABBADA
NPI 1851796130
Community Based Residential Treatment Facility, Mental Illness in Sacramento, CA

Active since October 29, 2014
4801 34TH ST, SACRAMENTO, CA 95820(916) 364-8395 Get Directions Write a Review

NPPES record last updated: October 29, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackie Lou Tabbada NPPES

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

JACKIE LOU TABBADA (NPI 1851796130) is an individual community based residential treatment facility, mental illness provider in Sacramento, California, licensed in California (347000518) and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1851796130
Entity TypeIndividualFemale
Primary Taxonomy320800000X
Provider Legal NameJACKIE LOU TABBADA
Location Address4801 34TH STSacramento, CA 95820-4849
Mailing Address9825 Selva WayElk Grove, CA 95757-8210 · (916) 601-9336
Phone(916) 364-8395
Sole ProprietorYes
Enumeration DateOctober 29, 2014
✔ NPI 1851796130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
License✔ Licensed in CA · 347000518
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
4801 34TH ST, Sacramento, CA 95820
Open in Google Maps ↗

Other Names 1

Other Name (5)Ronalyn Taaca

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.

TURNING POINT COMMUNITY PROGRAMS
Point of Service
4801 34TH ST
SACRAMENTO, CA 95820
Sacramento County (916) 737-9202
GINA COOKE AMFT
Marriage & Family Therapist
4801 34TH ST
SACRAMENTO, CA 95820
Sacramento County (916) 737-9202
NAIDA JOY ENRIQUEZ
Counselor
4801 34TH ST
SACRAMENTO, CA 95820
Sacramento County (916) 737-9202
MR. PAUL EDMUND VAN DYKE
Social Worker
4801 34TH ST
SACRAMENTO, CA 95820
Sacramento County (916) 737-9202
EMMETT LAMONT WILLINGHAM
Case Manager/Care Coordinator
4801 34TH ST
SACRAMENTO, CA 95820
Sacramento County (916) 737-9202
EDWIN ARTURO GARCIA NUNEZ
Case Manager/Care Coordinator
4801 34TH ST
SACRAMENTO, CA 95820
Sacramento County (916) 737-9202
ANNA MACIAS
Community Health Worker
4801 34TH ST
SACRAMENTO, CA 95820
Sacramento County (916) 737-9202
BOWMARIE ANDERSON
Student in an Organized Health Care Education/Training Program
4801 34TH ST
SACRAMENTO, CA 95820
Sacramento County (916) 737-9202

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 Jackie Lou Tabbada's NPI number?

The NPI number for Jackie Lou Tabbada is 1851796130. It was assigned to this individual provider in the NPPES registry on October 29, 2014. The provider is also known as Ronalyn Taaca.

Where is Jackie Lou Tabbada located?

Jackie Lou Tabbada practices at 4801 34th St, Sacramento, CA 95820. The listed phone number is (916) 364-8395.

What is Jackie Lou Tabbada's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Jackie Lou Tabbada was last updated on October 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.