Individual provider · NPI-1

Wendy Ahumada

Day Training/Habilitation Specialist · San Leandro, CA

NPI number1174040877

StatusActive

Last updated in NPPESApr 13, 2026

Details

NPI: 1174040877
Entity type: Individual (NPI-1)
Name: Wendy Ahumada
Sex: Female
Sole proprietor: Yes
Enumeration date: Aug 24, 2017
Certification date: Apr 13, 2026
Last updated: Apr 13, 2026

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
373H00000X	Day Training/Habilitation Specialist	–	–	Yes
172V00000X	Community Health Worker	–	–

Practice location

777 Davis St Ste 300
San Leandro, CA 94577-6923

Phone 510-746-2800 · Fax 510-746-2810

Mailing address

153 Haas Ave
San Leandro, CA 94577-3717

Phone 510-459-9481

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