Healthcare Provider Details

I. General information

NPI: 1598490740
Provider Name (Legal Business Name): SARRAH ELIZABETH OAKESON AGNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2022
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 TECHNOLOGY DR
IRVINE CA
92618-2302
US

IV. Provider business mailing address

7 TECHNOLOGY DR
IRVINE CA
92618-2302
US

V. Phone/Fax

Practice location:
  • Phone: 949-923-3200
  • Fax:
Mailing address:
  • Phone: 949-923-3200
  • Fax: --

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number95021105
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: