Healthcare Provider Details

I. General information

NPI: 1740104272
Provider Name (Legal Business Name): PATRICK SAGE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1499 BEACH PARK BLVD
FOSTER CITY CA
94404-1986
US

IV. Provider business mailing address

1499 BEACH PARK BLVD
FOSTER CITY CA
94404-1986
US

V. Phone/Fax

Practice location:
  • Phone: 628-222-9998
  • Fax:
Mailing address:
  • Phone: 628-222-9998
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number36471
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: