Healthcare Provider Details

I. General information

NPI: 1124962865
Provider Name (Legal Business Name): VINCENT SABIO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/15/2026
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13358 SILVER LAKE DR
POWAY CA
92064-4414
US

IV. Provider business mailing address

13358 SILVER LAKE DR
POWAY CA
92064-4414
US

V. Phone/Fax

Practice location:
  • Phone: 858-500-6413
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number48761
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: