Healthcare Provider Details

I. General information

NPI: 1891627766
Provider Name (Legal Business Name): SARAH ALYSSA HOWARD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1330 LINCOLN AVE STE 201
SAN RAFAEL CA
94901-2142
US

IV. Provider business mailing address

41 ENTRADA AVE
OAKLAND CA
94611-4347
US

V. Phone/Fax

Practice location:
  • Phone: 415-459-5999
  • Fax: 415-459-5602
Mailing address:
  • Phone: 860-874-1624
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number94029615
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: