MEDICARE: DR. SARAH OGDEN 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		CA
2	207Q00000X	Family Medicine Physician	A191101	CA

General Provider Information

NPI Number	:	1861131724
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARAH OGDEN MD

Provider Business Mailing Address
First Line	:	24060 CAMINO DEL AVION STE A
Second Line	:
City	:	DANA POINT
State	:	CA
Zip	:	92629-4006
Country	:	US
Telephone Number	:	949-557-0870
Fax Number	:	949-557-0871

Provider Business Practice Location Address
First Line	:	24060 CAMINO DEL AVION STE A
Second Line	:
City	:	DANA POINT
State	:	CA
Zip	:	92629-4006
Country	:	US
Telephone Number	:	949-557-0870
Fax Number	:	949-557-0871

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

Provider Enumeration Date	:	05/31/2022
Last Update Date	:	08/29/2025

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