Healthcare Provider Details

I. General information

NPI: 1245179688
Provider Name (Legal Business Name): ALEXANDRA SAUPE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16200 SAND CANYON AVE
IRVINE CA
92618-3714
US

IV. Provider business mailing address

33651 SURFSIDE DR
DANA POINT CA
92629-2141
US

V. Phone/Fax

Practice location:
  • Phone: 949-764-4624
  • Fax:
Mailing address:
  • Phone: 706-614-0415
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number95041379
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: