Mary Jane Sacdalan, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95136097 Issued in CA

Practice address

525 Bailyann PL
Vacaville, CA 95687-7535

Phone

(903) 787-3138

NPI assigned

Nov 7, 2023

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1699315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1699548099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 BAILYANN PL",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956877535",
            "telephone_number": "903-787-3138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 BAILYANN PL",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956877535",
            "telephone_number": "903-787-3138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACDALAN",
        "first_name": "MARY JANE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-07",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95136097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Diane Rydman
• Peter Ryoo, DDS
• Maria Carmen Saavedra, MD
• Thomas L. Sabo, MSW
• Felicia Louise Saca, NP
• Jade Saechao
• Javier Saenz, MD
• Safeway Inc (Safeway Pharmacy #1109)
• Nilofer Khadeja Safi
• Barbara Elaine Saint Clair, MFT

• Registered Nurse in Vacaville, CA
• Providers in Vacaville, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.