Provider Demographics
NPI:1679680748
Name:BENINGTON, SARAH (DO)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:BENINGTON
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:3835 N FREEWAY BLVD
Mailing Address - Street 2:STE 100
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95834-1928
Mailing Address - Country:US
Mailing Address - Phone:916-576-7898
Mailing Address - Fax:916-285-0338
Practice Address - Street 1:1241 ALAMO DR
Practice Address - Street 2:STE 6
Practice Address - City:VACAVILLE
Practice Address - State:CA
Practice Address - Zip Code:95687-5620
Practice Address - Country:US
Practice Address - Phone:707-741-3037
Practice Address - Fax:707-451-2324
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2016-11-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA20A113452084P0800X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX166248801Medicaid