Provider Demographics
NPI:1942934559
Name:CALDERA DE GARCIA, SARA GUADALUPE
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:GUADALUPE
Last Name:CALDERA DE GARCIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:84 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:CA
Mailing Address - Zip Code:94804-1910
Mailing Address - Country:US
Mailing Address - Phone:510-459-8287
Mailing Address - Fax:510-231-7810
Practice Address - Street 1:84 BROADWAY
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:CA
Practice Address - Zip Code:94804-1910
Practice Address - Country:US
Practice Address - Phone:510-459-8287
Practice Address - Fax:510-231-7810
Is Sole Proprietor?:No
Enumeration Date:2022-07-11
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker