Provider Demographics
NPI:1053844621
Name:MCHARDY, SARA DIANE (DC)
Entity Type:Individual
Prefix:MISS
First Name:SARA
Middle Name:DIANE
Last Name:MCHARDY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5673 W LAS POSITAS BLVD
Mailing Address - Street 2:SUITE 215
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588-8558
Mailing Address - Country:US
Mailing Address - Phone:925-225-0500
Mailing Address - Fax:925-225-0505
Practice Address - Street 1:5673 W LAS POSITAS BLVD
Practice Address - Street 2:SUITE 215
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-8558
Practice Address - Country:US
Practice Address - Phone:925-225-0500
Practice Address - Fax:925-225-0505
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-10
Last Update Date:2017-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33833111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor