Individual provider Active NPI

Jonah Mae Abalon- Manzur, FLOAT NURSE

  • Licensed Vocational Nurse
  • Sacramento, CA
National Provider Identifier
1265103451
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
712521 Issued in CA
Practice address
650 Howe Ave Ste 400a
Sacramento, CA 95825-4731
Phone
(916) 993-4131
NPI assigned
Sep 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 712521 CA Primary

Addresses

Primary practice location

650 Howe Ave Ste 400a
Sacramento, CA 95825-4731

Mailing address

650 Howe Ave Ste 400a
Sacramento, CA 95825-4731
Phone (916) 993-4131

Other practice location 1

3737 Marconi Avenue
948 Sacramento Avenue
West Sacramento, CA 95605
Phone (916) 254-0650

Other practice location 2

3737 Marconi Avenue
50 Main Street
Woodland, CA 95605
Phone (304) 902-0205

Other practice location 3

3737 Marconi Ave
Sacramento, CA 95821-5303
Phone (916) 993-4131

Other practice location 4

650 Howe Ave Ste 400A
Sacramento, CA 95825-4731
Phone (916) 993-4131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
712521CAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1265103451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 HOWE AVE STE 400A",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958254731",
            "telephone_number": "916-993-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 HOWE AVE STE 400A",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958254731",
            "telephone_number": "916-993-4131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3737 MARCONI AVENUE",
            "address_2": "948 SACRAMENTO AVENUE",
            "address_purpose": "LOCATION",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "95605",
            "country_code": "US",
            "telephone_number": "916-254-0650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3737 MARCONI AVENUE",
            "address_2": "50 MAIN STREET",
            "address_purpose": "LOCATION",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "95605",
            "country_code": "US",
            "telephone_number": "304-902-0205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3737 Marconi Ave",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958215303",
            "country_code": "US",
            "telephone_number": "916-993-4131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "650 Howe Ave Ste 400A",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958254731",
            "country_code": "US",
            "telephone_number": "916-993-4131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANZUR",
        "first_name": "JONAH MAE",
        "middle_name": "ABALON-",
        "name_prefix": "Ms.",
        "credential": "FLOAT NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-27",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "712521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.