MEDICARE: SARA MARIE ZATARAIN

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	172V00000X	Community Health Worker

General Provider Information

NPI Number	:	1518820109
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA MARIE ZATARAIN

Provider Business Mailing Address
First Line	:	950 W D ST
Second Line	:
City	:	ONTARIO
State	:	CA
Zip	:	91762-3026
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5685 SAN BERNARDINO ST
Second Line	:
City	:	MONTCLAIR
State	:	CA
Zip	:	91763-2941
Country	:	US
Telephone Number	:	909-984-9556
Fax Number	:

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

Provider Enumeration Date	:	12/09/2025
Last Update Date	:	12/09/2025

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Directions to “ SARA MARIE ZATARAIN ” Practice Location

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