Individual provider Active NPI

Mary Barayekere Nick Sagbe

  • Licensed Vocational Nurse
  • Cherryland, CA
National Provider Identifier
1033035548
Registry record updated Oct 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
717880 Issued in CA
Practice address
494 Blossom Way
Cherryland, CA 94541-1948
Phone
(510) 582-7676
NPI assigned
Jun 29, 2026
Last updated
Oct 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 717880 CA Primary

Addresses

Primary practice location

494 Blossom Way
Cherryland, CA 94541-1948

Mailing address

50 Austin Ave Apt 434
Hayward, CA 94544-2271
Phone (317) 748-3298

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
717880CAMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1782691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793318400000",
    "number": "1033035548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 AUSTIN AVE APT 434",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945442271",
            "telephone_number": "317-748-3298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "494 BLOSSOM WAY",
            "city": "CHERRYLAND",
            "state": "CA",
            "postal_code": "945411948",
            "telephone_number": "510-582-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICK SAGBE",
        "first_name": "MARY",
        "middle_name": "BARAYEKERE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-29",
        "last_updated": "2026-10-30",
        "certification_date": "2026-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "717880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherryland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.