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NPI Code Detail

MEDICARE: SABINA SAMPATH

MEDICARE:   SABINA  SAMPATH
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
1363AM0700XMedical Physician Assistant22963CA

General Provider Information

NPI Number : 1568808475
Entity Type Code : Individual
Provider Name (Legal Business Name) : SABINA SAMPATH
Provider Business Mailing Address
First Line : 11634 FAIR OAKS BLVD
Second Line :
City : FAIR OAKS
State : CA
Zip : 95628-3771
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11634 FAIR OAKS BLVD
Second Line :
City : FAIR OAKS
State : CA
Zip : 95628-3771
Country : US
Telephone Number : 916-852-6001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2013
Last Update Date : 01/15/2024

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Directions to “ SABINA SAMPATH ” Practice Location

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