Healthcare Provider Details

I. General information

NPI: 1770403347
Provider Name (Legal Business Name): ANDREA YULIANA BAKER-SANCHEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6840 OAK LN
PLACERVILLE CA
95667-6723
US

IV. Provider business mailing address

4934 SAN JUAN AVE APT 66
FAIR OAKS CA
95628-4630
US

V. Phone/Fax

Practice location:
  • Phone: 916-642-7800
  • Fax: 888-870-9642
Mailing address:
  • Phone: 209-715-2490
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License NumberVN758436
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: