Healthcare Provider Details

I. General information

NPI: 1275526634
Provider Name (Legal Business Name): JOSHUA JUDE SACHA D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2005
Last Update Date: 06/25/2025
Certification Date: 06/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ALLERGY/IMMUNIZATIONS CLINIC 101 BODIN CIRCLE
TRAVIS AFB CA
94535
US

IV. Provider business mailing address

ALLERGY/IMMUNIZATIONS CLINIC 101 BODIN CIRCLE
TRAVIS AFB CA
94535
US

V. Phone/Fax

Practice location:
  • Phone: 707-423-5107
  • Fax:
Mailing address:
  • Phone: 707-423-5107
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number2003019182
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number2003019182
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: