Healthcare Provider Details

I. General information

NPI: 1962226829
Provider Name (Legal Business Name): ALEXANDRA STERRITT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2024
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6555 COYLE AVE
CARMICHAEL CA
95608-0302
US

IV. Provider business mailing address

6555 COYLE AVE STE 290
CARMICHAEL CA
95608-0302
US

V. Phone/Fax

Practice location:
  • Phone: 916-537-5000
  • Fax:
Mailing address:
  • Phone: 949-390-4718
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA65533
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: