Healthcare Provider Details

I. General information

NPI: 1053222976
Provider Name (Legal Business Name): GERALDINE SATTAR PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

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

IV. Provider business mailing address

900 BROOKDALE AVE
LA HABRA CA
90631-3113
US

V. Phone/Fax

Practice location:
  • Phone: 714-712-0711
  • Fax:
Mailing address:
  • Phone: 562-455-9505
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95040947
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: