Healthcare Provider Details

I. General information

NPI: 1356021836
Provider Name (Legal Business Name): SARA LINGSCHEID STUDENT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2023
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2230 W CHAPMAN AVE # 212
ORANGE CA
92868-2316
US

IV. Provider business mailing address

470 NOOR AVE STE B1229
SOUTH SAN FRANCISCO CA
94080-5916
US

V. Phone/Fax

Practice location:
  • Phone: 714-712-0711
  • Fax:
Mailing address:
  • Phone: 239-223-0056
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number813167
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95034319
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: