Healthcare Provider Details

I. General information

NPI: 1134566714
Provider Name (Legal Business Name): SARAH ELIZABETH AVEDSCHMIDT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH E BECK MD

II. Dates (important events)

Enumeration Date: 05/23/2013
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4750 J ST UNIT 191035
SACRAMENTO CA
95819-5042
US

IV. Provider business mailing address

4750 J ST UNIT 191035
SACRAMENTO CA
95819-5042
US

V. Phone/Fax

Practice location:
  • Phone: 530-746-8074
  • Fax:
Mailing address:
  • Phone: 530-746-8074
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZF0201X
TaxonomyForensic Pathology Physician
License NumberA155641
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number4301102877
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: