Provider Demographics
NPI:1750992640
Name:SARMIENTA, DARIO
Entity type:Individual
Prefix:
First Name:DARIO
Middle Name:
Last Name:SARMIENTA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:DARIO
Other - Middle Name:
Other - Last Name:SARMIENTO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:22245 CORALBELL LN
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-7213
Mailing Address - Country:US
Mailing Address - Phone:669-842-0541
Mailing Address - Fax:
Practice Address - Street 1:210 ESTATES DR
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95678-2300
Practice Address - Country:US
Practice Address - Phone:408-645-0113
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-13
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA140515106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist