Active NPI
Sarah Sayre
- Family Nurse Practitioner
- San Clemente, CA
National Provider Identifier
1144864851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95013179
- Practice address
- 1031 Avenida Pico Ste 103
San Clemente, CA 92673-6355 - Phone
- (949) 429-1919
- NPI assigned
- Nov 5, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95013179 | CA | Primary |
Addresses
Primary practice location
1031 Avenida Pico Ste 103
San Clemente, CA 92673-6355
Mailing address
240 Nice LN Apt 203
Newport Beach, CA 92663-2690
Phone (214) 578-6997
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95013179 | Other | CA | CALIFORNIA BOARD OF NURSING-NP LICENSE |
| 95205052 | Other | CA | CALIFORNIA BOARD OF NURSING-RN LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | hybridmdoc.com |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95013179 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carbon Health Medical Group of California PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Carbon Health
- Urgent Care Clinic/Center
- Berkeley, CA
- NPI 1417294232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572912000000",
"number": "1144864851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 NICE LN APT 203",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926632690",
"telephone_number": "214-578-6997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1031 AVENIDA PICO STE 103",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926736355",
"telephone_number": "949-429-1919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAYRE",
"first_name": "SARAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-05",
"last_updated": "2019-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95013179",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA BOARD OF NURSING-NP LICENSE",
"identifier": "95013179",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA BOARD OF NURSING-RN LICENSE",
"identifier": "95205052",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "hybridmdoc.com",
"affiliation": "N",
"endpointDescription": "COMPANY Website",
"address_1": "1031 Avenida Pico Ste 103",
"city": "San Clemente",
"state": "CA",
"country_code": "US",
"postal_code": "926736355",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Clemente, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.