Healthcare Provider Details

I. General information

NPI: 1881543254
Provider Name (Legal Business Name): SANDRA BARRAZA PPS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/27/2026
Last Update Date: 01/27/2026
Certification Date: 01/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14848 LAMBERSON AVE
LOST HILLS CA
93249
US

IV. Provider business mailing address

14848 LAMBERSON AVE
LOST HILLS CA
93249
US

V. Phone/Fax

Practice location:
  • Phone: 661-797-2220
  • Fax:
Mailing address:
  • Phone: 661-797-2220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number230143788
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: