Leah Lorraine Fernando Abalon, LVN
Licensed Practical Nurse in Elk Grove, CA. Individual provider (NPI-1).
NPI number1497401129
StatusActive
Last updated in NPPESSep 18, 2023
Details
- NPI
- 1497401129
- Entity type
- Individual (NPI-1)
- Name
- Leah Lorraine Fernando Abalon
- Credential
- LVN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 22, 2022
- Certification date
- Sep 18, 2023
- Last updated
- Sep 18, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 720540 | CA | Yes |
Other names
- Na Na Na (Former Name)
Practice location
9340 E Stockton BlvdElk Grove, CA 95624-1563
Phone 916-509-8198 · Fax 916-519-8199
Mailing address
3391 Jola CirSacramento, CA 95832-1548
Phone 510-253-5203
Other practice locations
6127 Fair Oaks Blvd
Carmichael, CA 95608-4818
Carmichael, CA 95608-4818
Phone 916-974-8990
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Licensed Practical Nurse providers in Elk Grove, CA
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