Provider Demographics
NPI:1467804880
Name:OKERBLOM-SINCOFF, SCARLETT (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:SCARLETT
Middle Name:
Last Name:OKERBLOM-SINCOFF
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 1:915 E STOWELL RD STE B
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93454-7010
Mailing Address - Country:US
Mailing Address - Phone:805-938-7444
Mailing Address - Fax:805-938-7429
Practice Address - Street 1:915 E STOWELL RD STE B
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93454-7010
Practice Address - Country:US
Practice Address - Phone:805-938-7444
Practice Address - Fax:805-938-7429
Is Sole Proprietor?:No
Enumeration Date:2016-07-09
Last Update Date:2021-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA53779363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical