MEDICARE: SARAH M BURKE MD

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	390200000X	Student in an Organized Health Care Education/Training Program
2	207V00000X	Obstetrics & Gynecology Physician	148842	CA

General Provider Information

NPI Number	:	1770842056
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH M BURKE MD

Provider Business Mailing Address
First Line	:	1531 ESPLANADE
Second Line	:	ATTN: ADMINISTRATION
City	:	CHICO
State	:	CA
Zip	:	95926-3310
Country	:	US
Telephone Number	:	530-332-7400
Fax Number	:	530-893-6814

Provider Business Practice Location Address
First Line	:	1423 MAGNOLIA AVE STE B
Second Line	:
City	:	CHICO
State	:	CA
Zip	:	95926-3226
Country	:	US
Telephone Number	:	530-332-5010
Fax Number	:	530-893-6931

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

Provider Enumeration Date	:	05/08/2012
Last Update Date	:	07/21/2022

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