MEDICARE: SACHI LOVELY REEVES

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	163WI0600X	Infection Control Registered Nurse	95203402	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	X	OTHER		X

General Provider Information

NPI Number	:	1801539291
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SACHI LOVELY REEVES

Provider Business Mailing Address
First Line	:	4825 GENEVA AVE
Second Line	:
City	:	CONCORD
State	:	CA
Zip	:	94521-2122
Country	:	US
Telephone Number	:	510-372-3464
Fax Number	:

Provider Business Practice Location Address
First Line	:	84 W SANTA CLARA ST
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95113-1815
Country	:	US
Telephone Number	:	510-372-3464
Fax Number	:

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

Provider Enumeration Date	:	04/14/2022
Last Update Date	:	04/14/2022

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Directions to “ SACHI LOVELY REEVES ” Practice Location

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