Provider Demographics
NPI:1710259445
Name:SANDERS, SARAH REBECCA (DO)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:REBECCA
Last Name:SANDERS
Suffix:
Gender:F
Credentials:DO
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Other - Credentials:
Mailing Address - Street 1:DEPT 34929
Mailing Address - Street 2:P.O. BOX 39000
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94139-0001
Mailing Address - Country:US
Mailing Address - Phone:925-952-2828
Mailing Address - Fax:925-952-2850
Practice Address - Street 1:1450 TREAT BLVD
Practice Address - Street 2:SUITE 120A
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94597-2168
Practice Address - Country:US
Practice Address - Phone:925-296-9720
Practice Address - Fax:925-296-9032
Is Sole Proprietor?:No
Enumeration Date:2012-01-26
Last Update Date:2016-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A11671207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
P01582139OtherRAILROAD MEDICARE
P01582139OtherRAILROAD MEDICARE