Healthcare Provider Details

I. General information

NPI: 1164076394
Provider Name (Legal Business Name): SARAHI BARAJAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2019
Last Update Date: 03/04/2026
Certification Date: 03/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

870 S SARIVAL AVE UNIT 144
GOODYEAR AZ
85338-0157
US

IV. Provider business mailing address

870 S SARIVAL AVE UNIT 144
GOODYEAR AZ
85338-0157
US

V. Phone/Fax

Practice location:
  • Phone: 310-594-6384
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number104079
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number137254
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: