Healthcare Provider Details

I. General information

NPI: 1538634209
Provider Name (Legal Business Name): SARAH KAY PA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SARAH LYON PA

II. Dates (important events)

Enumeration Date: 10/09/2018
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 VALPREDA RD
SAN MARCOS CA
92069-2973
US

IV. Provider business mailing address

150 VALPREDA RD
SAN MARCOS CA
92069-2973
US

V. Phone/Fax

Practice location:
  • Phone: 760-736-6767
  • Fax:
Mailing address:
  • Phone: 760-736-6767
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: