MEDICARE: BREANNE SABBATINO PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant

General Provider Information

NPI Number	:	1245011527
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BREANNE SABBATINO PA-C

Provider Business Mailing Address
First Line	:	1503 E MARCH LN
Second Line	:
City	:	STOCKTON
State	:	CA
Zip	:	95210-5626
Country	:	US
Telephone Number	:	209-446-4455
Fax Number	:	866-950-0134

Provider Business Practice Location Address
First Line	:	1503 E MARCH LN
Second Line	:
City	:	STOCKTON
State	:	CA
Zip	:	95210-5626
Country	:	US
Telephone Number	:	209-446-4455
Fax Number	:	866-950-0134

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2023
Last Update Date	:	04/21/2026

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