Provider Demographics
NPI:1154098200
Name:SANCHEZ, SIERRA BROOKE (PA-C)
Entity Type:Individual
Prefix:
First Name:SIERRA
Middle Name:BROOKE
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4719 VIEWRIDGE AVE STE 130
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-1685
Mailing Address - Country:US
Mailing Address - Phone:619-790-8301
Mailing Address - Fax:
Practice Address - Street 1:4719 VIEWRIDGE AVE STE 130
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-1685
Practice Address - Country:US
Practice Address - Phone:619-790-8301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-26
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant