Provider Demographics
NPI:1811018567
Name:SABORIO, YVETTE DENISE (RN)
Entity Type:Individual
Prefix:MS
First Name:YVETTE
Middle Name:DENISE
Last Name:SABORIO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:YVETTE
Other - Middle Name:DENISE
Other - Last Name:ESPINOSA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:8923 WINDHAM CT
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:91977-3300
Mailing Address - Country:US
Mailing Address - Phone:619-461-1696
Mailing Address - Fax:619-401-5454
Practice Address - Street 1:1000 BROADWAY STE 210
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92021-4899
Practice Address - Country:US
Practice Address - Phone:619-401-5500
Practice Address - Fax:619-401-5454
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2016-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA521008163WP0807X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA7737Medicaid