Healthcare Provider Details

I. General information

NPI: 1538096797
Provider Name (Legal Business Name): BRIAN ST. GEME
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5251 VALLEY HI DR
SACRAMENTO CA
95823-5143
US

IV. Provider business mailing address

6915 ESCALLONIA DR
ORANGEVALE CA
95662-3009
US

V. Phone/Fax

Practice location:
  • Phone: 916-228-2500
  • Fax:
Mailing address:
  • Phone: 408-710-8372
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number24507
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: