Individual provider Active NPI

Sarah Sayre

  • Family Nurse Practitioner
  • San Clemente, CA
National Provider Identifier
1144864851
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95013179 Issued in CA
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

Updated by the provider on Nov 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
95013179OtherCACALIFORNIA BOARD OF NURSING-NP LICENSE
95205052OtherCACALIFORNIA BOARD OF NURSING-RN LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
95013179CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carbon Health Medical Group of California PC PastSince Nov 10, 2019 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.

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.

Verify at the official NPI Registry.