Healthcare Provider Details

I. General information

NPI: 1659791499
Provider Name (Legal Business Name): SARAH JO STYLES DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH BEAUDOIN D.O.

II. Dates (important events)

Enumeration Date: 04/20/2014
Last Update Date: 11/20/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 YGNACIO VALLEY RD
WALNUT CREEK CA
94598-3122
US

IV. Provider business mailing address

1601 YGNACIO VALLEY RD
WALNUT CREEK CA
94598-3122
US

V. Phone/Fax

Practice location:
  • Phone: 925-947-5350
  • Fax: 510-450-5823
Mailing address:
  • Phone: 625-947-5350
  • Fax: 510-450-5823

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number20A16315
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number20A16315
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: