Janice P Mabanta

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

729596 Issued in CA

Practice address

2221 Martin Luther King Jr Way
Oakland, CA 94612-1318

Phone

(510) 267-7800

NPI assigned

Sep 21, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1789948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1508778820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2631 ATASCADERO DR",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945336770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 MARTIN LUTHER KING JR WAY",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946121318",
            "telephone_number": "510-267-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABANTA",
        "first_name": "JANICE",
        "middle_name": "P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-21",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "729596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lester Jen Yip Ma
• Samantha Ma, DC
• William Ma, LMFT
• Wing Leung Ma, PCCI
• Sabah Maaodhah
• Alex James Maben
• Hayward Clinton Maben III, M.D.
• Tanjanee Mabrey
• Michele Mabry Wilson
• David Tanue Mabullu

• Licensed Vocational Nurse in Oakland, CA
• Providers in Oakland, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.