Individual provider Active NPI

Sarah Nanette Ehrsam, ATC

  • Athletic Trainer
  • Santa Clarita, CA
National Provider Identifier
1114179801
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Practice address
26455 Rockwell Canyon Rd
Santa Clarita, CA 91355-1803
Phone
(661) 362-3377
Fax
(661) 255-2972
NPI assigned
Oct 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X Primary

Addresses

Primary practice location

26455 Rockwell Canyon Rd
Santa Clarita, CA 91355-1803

Mailing address

22900 Oak Ridge Dr
Apt 145
Santa Clarita, CA 91350-2504
Phone (661) 362-3377

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

NPI Registry JSON

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223942400000",
    "number": "1114179801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22900 OAK RIDGE DR",
            "address_2": "APT 145",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913502504",
            "telephone_number": "661-362-3377",
            "fax_number": "661-255-2972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26455 ROCKWELL CANYON RD",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913551803",
            "telephone_number": "661-362-3377",
            "fax_number": "661-255-2972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHRSAM",
        "first_name": "SARAH",
        "middle_name": "NANETTE",
        "name_prefix": "Miss",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-14",
        "last_updated": "2008-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; 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.