MEDICARE: KATRINA ALEGARBES SAKAMOTO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	95010199	CA
2	363LP2300X	Primary Care Nurse Practitioner	95010199	CA

General Provider Information

NPI Number	:	1487129516
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATRINA ALEGARBES SAKAMOTO

Provider Business Mailing Address
First Line	:	4601 AVENIDA DE LAS ESTRELL
Second Line	:
City	:	YORBA LINDA
State	:	CA
Zip	:	92886-3102
Country	:	US
Telephone Number	:	551-574-2718
Fax Number	:

Provider Business Practice Location Address
First Line	:	4601 AVENIDA DE LAS ESTRELL
Second Line	:
City	:	YORBA LINDA
State	:	CA
Zip	:	92886-3102
Country	:	US
Telephone Number	:	551-574-2718
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2018
Last Update Date	:	08/05/2021

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