Kendra Lee Abarca
Individual provider Active NPI Licensed Practical Nurse · Merced, CA
NPI 1124763461 · NPPES record last updated Dec 19, 2022
Key facts
- NPI
- 1124763461
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 726064 (CA)
- Practice address
- 300 E 15TH St Ste C
Merced, CA 95341-6217 - Phone
- (209) 725-2125
- NPI assigned
- May 2, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 726064 | CA | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 726064 | CA | |
| Licensed Practical Nurse | 164W00000X | 726064 | CA | Yes |
Addresses
Primary practice location
300 E 15TH St Ste C
Merced, CA 95341-6217
Mailing address
400 Oyster Point Blvd Ste 501
South San Francisco, CA 94080-7600
Phone (650) 866-4080
Other practice location 1
301 E 13th St Ste C
Merced, CA 95341-6211
Phone (209) 386-1096
Other providers in Merced, CA
- A for ABA LLC
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- Lyzette Abalos
- Aylieana Larae Abanathie
- Shabana Abdullah Abdulqadir
- Fatima Latifah Abdulzahir
- Mary Grace Antonette Lavina Abear
- Hira Zainul Abideen
- John Estamo Abordo
All providers in Merced, CA · Licensed Practical Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.