Healthcare Provider Details

I. General information

NPI: 1851101075
Provider Name (Legal Business Name): SARAH ELIZABETH ADAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/09/2025
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 UNIVERSITY DR
ORANGE CA
92866-1005
US

IV. Provider business mailing address

PO BOX 6205
LAGUNA NIGUEL CA
92607-6205
US

V. Phone/Fax

Practice location:
  • Phone: 714-997-6851
  • Fax: 714-744-7077
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: