Healthcare Provider Details

I. General information

NPI: 1629719968
Provider Name (Legal Business Name): REBECCA JANE FOLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2022
Last Update Date: 05/21/2025
Certification Date: 05/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9343 TECH CENTER DR STE 110
SACRAMENTO CA
95826-2592
US

IV. Provider business mailing address

6629 FOXTAIL CT
SACRAMENTO CA
95842-2311
US

V. Phone/Fax

Practice location:
  • Phone: 84-465-8280
  • Fax:
Mailing address:
  • Phone: 916-308-6529
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License Number291882
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number291882
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: