SARAH ELIZABETH BROOME (NPI# 1174962054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174962054 |
| Entity Type | Individual |
| Full Name | SARAH ELIZABETH BROOME |
| Credential | PA |
| Practice Address |
2021 Main St Oakley CA 94561-3302 |
| Mailing Address |
4165 Blackhawk Plaza Cir 100 Danville CA 94506-4691 |
| Practice Telephone | 9257768200 |
| Practice Fax Number | 9257768260 |
| Mailing Telephone | 9257367070 |
| Mailing Fax Number | 9257367075 |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2015-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA22781 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2021 MAIN ST |
| City | OAKLEY |
| State | CA |
| Zip Code | 94561-3302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255562443 | Siomara De Anda Mar | Marriage & Family Therapist | 2021 Main St, Oakley, CA 94561-3302 | 2009-08-05 |
| 1043766678 | Kalynn Yastro | Registered Nurse | 2021 Main St, Oakley, CA 94561-3302 | 2016-09-01 |
| 1760935753 | Keith Bonnes | Student in an Organized Health Care Education/Training Program | 2021 Main St, Oakley, CA 94561-3302 | 2016-07-26 |
| 1033589486 | Josephine Mumbi Githua | Family Medicine | 2021 Main St, Oakley, CA 94561-3302 | 2015-09-29 |
| 1518334465 | Mariya Ryazantseva | Nurse Practitioner | 2021 Main St, Oakley, CA 94561-3302 | 2015-08-26 |
| 1003249244 | Shuinn Chang | Registered Nurse | 2021 Main St, Oakley, CA 94561-3302 | 2013-08-12 |
| 1184063554 | Natalie Calida Vizcarra | Physician Assistant | 2021 Main St, Oakley, CA 94561-3302 | 2013-06-19 |
| 1356614762 | Christina Loeliger | Nurse Practitioner | 2021 Main St, Oakley, CA 94561-3302 | 2012-02-15 |
| 1578834164 | La Clinica De La Raza, Inc. | Clinical Medical Laboratory | 2021 Main St, Oakley, CA 94561-3302 | 2012-01-13 |
| 1992036172 | Jose Luis Trujillo | Counselor | 2021 Main St, Oakley, CA 94561-3302 | 2010-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720565609 | Andrehina Salinas | Psychologist | 501 Norcross Ln, Oakley, CA 94561 | 2018-07-24 |
| 1629375514 | Prevailing Winds International | Community/Behavioral Health | 6327 Bethel Island, Ste A 1011, Bethel Island, CA 94561 | 2011-02-11 |
| 1851698781 | Elizabeth Phillips | Social Worker | 1506 Yosemite Circle, Oakley, CA 94561 | 2011-02-11 |
| 1093831539 | Richard John Dare | Dentist | 2571 Main St, Oakley, CA 94561 | 2007-03-22 |
| 1447380357 | New Way Services Inc | Intermediate Care Facility, Mentally Retarded | 92 Lozoya Way, Oakley, CA 94561 | 2007-03-07 |
| 1184779779 | New Way Services Inc | Intermediate Care Facility, Mentally Retarded | 385 Hill Ave, Oakley, CA 94561 | 2007-01-24 |
| 1821151846 | New Way Services Inc | Intermediate Care Facility, Mentally Retarded | 1325 Yosemite Circle, Oakley, CA 94561 | 2006-12-19 |
| 1467515064 | New Way Services Inc | Intermediate Care Facility, Mentally Retarded | 606 Glacier Way, Oakley, CA 94561 | 2006-12-18 |
| 1205912169 | Rick D Junnila | Chiropractor | 5351 Neroly Rd., Ste. B, Oakley, CA 94561 | 2006-10-31 |
| 1699795237 | Lourdes De La Cruz | Pediatrics | 3090 Frandoras Circle, Oakley, CA 94561 | 2006-07-19 |
| Find all providers in zip 94561 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184063554 | Natalie Calida Vizcarra | Physician Assistant | 2021 Main St, Oakley, CA 94561-3302 | 2013-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407679 | Samantha Sidney Spinner | Physician Assistant | 1385 Shattuck Ave Apt 201, Berkeley, CA 94709-1468 | 2020-11-08 |
| 1134720972 | Alessandra Porfido | Physician Assistant | 733 Filbert St Apt 1, San Francisco, CA 94133-2767 | 2020-11-06 |
| 1992306872 | Kelsey Oberg | Physician Assistant | 1817 Oldfield Ct, El Cajon, CA 92019-4233 | 2020-11-05 |
| 1609477504 | Julia Claire Stiefel | Physician Assistant | 369 Orange St Apt A, Oakland, CA 94610-2979 | 2020-11-05 |
| 1164023347 | Wendy P Lewis | Physician Assistant | 10447 Highdale St, Bellflower, CA 90706-4122 | 2020-11-04 |
| 1245830181 | Lauren Bennett | Physician Assistant | 3360 Horizon St, Corona, CA 92881-0728 | 2020-10-29 |
| 1538769062 | Revital Ahl | Physician Assistant | 18141 Medley Dr, Encino, CA 91316-4447 | 2020-10-26 |
| 1922607423 | Emily Halla | Physician Assistant | 7473 Gresham Ct, San Jose, CA 95139-1424 | 2020-10-26 |
| 1386243889 | Ilaitia Lecia Namatasere | Physician Assistant | 614 Sycamore Ln Apt 225, Davis, CA 95616-7901 | 2020-10-26 |
| 1083213706 | Courtney Kathryn Hopp | Physician Assistant | 4060 Fourth Ave Ste 209, San Diego, CA 92103-2120 | 2020-10-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.