MEDICARE: BRANCHWAY BEHAVIOR SERVICES LLC

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1932041126
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRANCHWAY BEHAVIOR SERVICES LLC

Provider Business Mailing Address
First Line	:	4160 SUISUN VALLEY RD STE E
Second Line	:
City	:	FAIRFIELD
State	:	CA
Zip	:	94534-4027
Country	:	US
Telephone Number	:	415-534-4001
Fax Number	:

Provider Business Practice Location Address
First Line	:	1545 N TEXAS ST STE 201
Second Line	:
City	:	FAIRFIELD
State	:	CA
Zip	:	94533-5623
Country	:	US
Telephone Number	:	415-534-4001
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER/OWNER
Name	:	ZAHIAH SARSOUR
Credential	:	SARSOUR
Telephone Number	:	415-533-7417

Provider Enumeration Date	:	04/07/2026
Last Update Date	:	04/07/2026

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