Healthcare Provider Details

I. General information

NPI: 1558982959
Provider Name (Legal Business Name): SARAH MAGNANI MHRS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2020
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 GORDON LN
SANTA ROSA CA
95404-5636
US

IV. Provider business mailing address

1100 LINCOLN AVE STE 108
NAPA CA
94558-4908
US

V. Phone/Fax

Practice location:
  • Phone: 707-527-3249
  • Fax:
Mailing address:
  • Phone: 415-861-0828
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: