Jauda Abalos
Individual provider Active NPI Licensed Vocational Nurse · Fresno, CA
NPI 1780886226 · NPPES record last updated Jan 30, 2009
Key facts
- NPI
- 1780886226
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 215495 (CA)
- Practice address
- 1225 M St
Jail Medical Services, 2ND Floor
Fresno, CA 93721-1805 - Phone
- (559) 442-2404
- Fax
- (559) 442-5277
- NPI assigned
- Jun 5, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| 215495 | CA | MD | Licensed Vocational Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Fresno | Past | Accepting new patients | |
| County of Fresno | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 215495 | CA | Yes |
Addresses
Primary practice location
1225 M St
Jail Medical Services, 2ND Floor
Fresno, CA 93721-1805
Mailing address
1225 M St
Jail Medical Services, 2ND Floor
Fresno, CA 93721-1805
Phone (559) 442-2404
Other names
- Ms. Jauda Timar Abalos
Other providers in Fresno, CA
- Craig R. Aaronson
- ABA Support Group LLC
- Concepcion Abad
- Careen Abadjian
- Ashlee J Abalos
- Laura Elaine Abaloz
- Benjamin Abangan
- Rita Seiwaah Abankwa
- Barseg Abanyan
- Ferlyn Abas
All providers in Fresno, CA · Licensed Vocational 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 Jan 30, 2009. 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.