Organization Active NPI

Imelda F. Abakan

  • Nursing Facility/Intermediate Care Facility
  • Vallejo, CA
National Provider Identifier
1114100401
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
VN101924 Issued in CA
Legal business name
IMELDA F. ABAKAN
Practice address
126 Sunfish CT
Vallejo, CA 94591-7121
Phone
(707) 980-6399
NPI assigned
Dec 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Imelda Floria Abakan
Title
L.V.N.
Phone
(707) 980-6399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X VN101924 CA Primary

Addresses

Primary practice location

126 Sunfish CT
Vallejo, CA 94591-7121

Mailing address

126 Sunfish CT
Vallejo, CA 94591-7121
Phone (707) 980-6399

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1114100401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 SUNFISH CT",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945917121",
            "telephone_number": "707-980-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 SUNFISH CT",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945917121",
            "telephone_number": "707-980-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMELDA F. ABAKAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "ABAKAN",
        "authorized_official_first_name": "IMELDA",
        "authorized_official_middle_name": "FLORIA",
        "authorized_official_title_or_position": "L.V.N.",
        "authorized_official_telephone_number": "707-980-6399",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "CA",
            "license": "VN101924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vallejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.