SARA PEDRAZA (NPI# 1760963565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760963565 |
| Entity Type | Individual |
| Full Name | SARA PEDRAZA |
| Credential | BA |
| Practice Address |
662 Encinitas Blvd Ste 208 Encinitas CA 92024-6789 |
| Mailing Address |
26362 Mirar Vista Dr Mission Viejo CA 92692-3941 |
| Practice Telephone | 7606341125 |
| Mailing Telephone | 9498747607 |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2018-08-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
662 ENCINITAS BLVD STE 208 |
| City | ENCINITAS |
| State | CA |
| Zip Code | 92024-6789 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164786943 | Coyne & Associates Education Corp | Community/Behavioral Health | 662 Encinitas Blvd Ste 208, Encinitas, CA 92024-6789 | 2012-06-27 |
| 1225645476 | Kelleen Amaro | Behavior Technician | 662 Encinitas Blvd Ste 208, Encinitas, CA 92024-6789 | 2020-09-30 |
| 1154937381 | Juliana Marie Wambach | Behavior Technician | 662 Encinitas Blvd Ste 208, Encinitas, CA 92024-6789 | 2020-09-22 |
| 1730794728 | Jiselle De Anda | Behavior Technician | 662 Encinitas Blvd Ste 208, Encinitas, CA 92024-6789 | 2020-09-15 |
| 1952919730 | Elaina Suzanne Clougherty | Behavior Technician | 662 Encinitas Blvd Ste 208, Encinitas, CA 92024-6789 | 2020-07-17 |
| 1538795034 | Krystal Wanida Chinothai | Behavior Technician | 662 Encinitas Blvd Ste 208, Encinitas, CA 92024-6789 | 2020-03-16 |
| 1992337133 | Valerie Salgado | Behavior Technician | 662 Encinitas Blvd Ste 208, Encinitas, CA 92024-6789 | 2020-02-05 |
| 1740823111 | Alyssa Fernandez | Behavior Technician | 662 Encinitas Blvd Ste 208, Encinitas, CA 92024-6789 | 2019-10-17 |
| 1568003234 | Alexandra Kruip | Behavior Technician | 662 Encinitas Blvd Ste 208, Encinitas, CA 92024-6789 | 2019-10-03 |
| 1811552516 | Ileana Marie Burleson | Behavior Technician | 662 Encinitas Blvd Ste 208, Encinitas, CA 92024-6789 | 2019-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326688672 | Erika S Roark | Nurse Practitioner | 754 Bonita Drive, Encinitas, CA 92024 | 2020-01-14 |
| 1871064279 | Elana Miller | Physical Therapist | 285 N El Camino Real Ste 202, Encinitas, CA 92024 | 2018-12-10 |
| 1811478654 | Aton Center, Inc. | Substance Abuse Rehabilitation Facility | 3238 Country Rose Cir, Encinitas, CA 92024 | 2018-08-28 |
| 1124508296 | Hardison Medical Corporation | Family Medicine | 2210 Encinitas Blvd Ste N, Encinitas, CA 92024 | 2018-08-18 |
| 1326544990 | Jamin Sarah Sylvada | Midwife | 1141 Balour Drive, Encinitas, CA 92024 | 2018-04-03 |
| 1457856445 | Stephanie Yarnell | Optometrist | 385 Via Montanosa, Encinitas, CA 92024 | 2018-03-29 |
| 1972002954 | J Schaefer Dds Inc | Clinic/Center | 355 Santa Fe Drive Suite 100, Encinitas, CA 92024 | 2018-02-06 |
| 1538691654 | Dr. James C. Lajevic D.m.d. Correct Choice Dental | Point of Service | 199 N El Camino Real Blvd, Suite E, Encinitas, CA 92024 | 2017-03-29 |
| 1649720566 | Marcia A. Rebelo | Social Worker | 187 Calle Magdalena Ste 114, Encinitas, CA 92024 | 2016-10-04 |
| 1346698529 | Jordan Anne Pinozek | Optometrist | 1044b N El Camino Real, Encinitas, CA 92024 | 2016-05-29 |
| Find all providers in zip 92024 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841850179 | Madison Gavela | Community/Behavioral Health | 760 Encinitas Blvd Ste 208, Encinitas, CA 92024-3307 | 2019-06-18 |
| 1821578204 | Joanna Dare | Community/Behavioral Health | 1014 Cottage Way, Encinitas, CA 92024-5857 | 2018-08-15 |
| 1497253462 | Aaron Kurtz | Community/Behavioral Health | 730 Summersong Ln, Encinitas, CA 92024-5453 | 2018-01-25 |
| 1003322033 | Shoreline Recovery Center, LLC | Community/Behavioral Health | 183 Calle Magdalena Ste 101, Encinitas, CA 92024-3793 | 2017-12-28 |
| 1164786943 | Coyne & Associates Education Corp | Community/Behavioral Health | 662 Encinitas Blvd Ste 208, Encinitas, CA 92024-6789 | 2012-06-27 |
| 1578127486 | Rachael Marie Ramirez | Community/Behavioral Health | 662 Encinitas Blvd Ste 208, Encinitas, CA 92024-6789 | 2019-04-25 |
| 1467915280 | Matthew Jarvinen Ph.d., Inc., A Psychological Corporation | Community/Behavioral Health | 169 Saxony Rd Ste 205, Encinitas, CA 92024-6780 | 2019-04-09 |
| 1417423252 | Kayla Haupt | Community/Behavioral Health | 662 Encinitas Blvd Ste 208, Encinitas, CA 92024-6789 | 2018-10-19 |
| 1063988830 | Natalie Marie Thill | Community/Behavioral Health | 662 Encinitas Blvd, Encinitas, CA 92024-6788 | 2018-10-19 |
| 1750869368 | Richard Alan Weber Jr. | Community/Behavioral Health | 662 Encinitas Blvd Ste 208, Encinitas, CA 92024-6789 | 2018-08-06 |
| Find all providers in ENCINITAS | ||||
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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.