Healthcare Provider Details

I. General information

NPI: 1316854722
Provider Name (Legal Business Name): VERONICA CABA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

816 OAK RIDGE DR
ROSEVILLE CA
95661-4613
US

IV. Provider business mailing address

816 OAK RIDGE DR
ROSEVILLE CA
95661-4613
US

V. Phone/Fax

Practice location:
  • Phone: 916-519-1144
  • Fax: 916-520-3813
Mailing address:
  • Phone: 916-519-1144
  • Fax: 916-520-3813

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number317005506
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: