Healthcare Provider Details

I. General information

NPI: 1609502293
Provider Name (Legal Business Name): SACHI PATEL PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2022
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 PIEDMONT AVE
OAKLAND CA
94611-5352
US

IV. Provider business mailing address

362 PRAIRIE DOG LN
FREMONT CA
94539-6653
US

V. Phone/Fax

Practice location:
  • Phone: 415-432-7899
  • Fax:
Mailing address:
  • Phone: 510-493-8234
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA61425
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: