Healthcare Provider Details

I. General information

NPI: 1689580342
Provider Name (Legal Business Name): PRICILLA MARIE SANCHEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8101 GRANDSTAFF DR
SACRAMENTO CA
95823-5312
US

IV. Provider business mailing address

2253 2ND AVE APT 5 APT 5
SACRAMENTO CA
95818-3126
US

V. Phone/Fax

Practice location:
  • Phone: 916-689-2120
  • Fax:
Mailing address:
  • Phone: 916-709-6746
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number6661
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: