Healthcare Provider Details

I. General information

NPI: 1194648188
Provider Name (Legal Business Name): SARAH VILLEGAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4250 W 16TH ST
YUMA AZ
85364-4031
US

IV. Provider business mailing address

7888 E 37TH PL
YUMA AZ
85365-6367
US

V. Phone/Fax

Practice location:
  • Phone: 928-373-3400
  • Fax:
Mailing address:
  • Phone: 805-204-7086
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: