MEDICARE: TANIA A SADOUN MD

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	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	A103164	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639405640
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TANIA A SADOUN MD

Provider Business Mailing Address
First Line	:	275 W MACARTHUR BLVD
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94611-5641
Country	:	US
Telephone Number	:	510-752-1000
Fax Number	:

Provider Business Practice Location Address
First Line	:	335 S MCDOWELL BLVD
Second Line	:
City	:	PETALUMA
State	:	CA
Zip	:	94954-3507
Country	:	US
Telephone Number	:	707-293-1110
Fax Number	:

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

Provider Enumeration Date	:	10/26/2009
Last Update Date	:	12/26/2025

Similar Medicare Providers

1518939156 — DR. RICHARD COLE ASTON O.D.
Practice Location Address:

345B S MCDOWELL BLVD
PETALUMA, CA
94954-3507

Practice Phone: 707-778-1961
Practice Fax: 707-778-1369

1962448571 — SAFEWAY INC
Practice Location Address:

389 S MCDOWELL BLVD
PETALUMA, CA
94954-3507

Practice Phone: 707-766-9477
Practice Fax: 707-762-1159

1962511766 — JODI LYNN ADAMS M.D.
Practice Location Address:

335 S MCDOWELL BLVD
PETALUMA, CA
94954-3507

Practice Phone: 707-293-1110
Practice Fax:

1669597167 — ERICK RUIZ MIRANDA M.D.
Practice Location Address:

335 S MCDOWELL BLVD
PETALUMA, CA
94954-3507

Practice Phone: 707-293-1110
Practice Fax:

1558577692 — CHERYL NEGRIN NP
Practice Location Address:

335 S MCDOWELL BLVD
PETALUMA, CA
94954-3507

Practice Phone: 707-293-1110
Practice Fax:

1700186889 — CRAIG EDMOND RICKARD PHARMD
Practice Location Address:

373 S MCDOWELL BLVD
PETALUMA, CA
94954-3507

Practice Phone: 707-762-1479
Practice Fax: 707-762-1896

Directions to “ TANIA A SADOUN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.