Healthcare Provider Details

I. General information

NPI: 1508695180
Provider Name (Legal Business Name): SARAH GEHRKE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH KADI

II. Dates (important events)

Enumeration Date: 07/31/2024
Last Update Date: 02/12/2025
Certification Date: 02/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5161 CLAYTON RD STE F
CONCORD CA
94521-3157
US

IV. Provider business mailing address

1450 TREAT BLVD STE 300
WALNUT CREEK CA
94597-2168
US

V. Phone/Fax

Practice location:
  • Phone: 925-609-8282
  • Fax:
Mailing address:
  • Phone: 925-952-2828
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number851632
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95033380
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: