Sara Jayne Alley, LVN
Individual provider Active NPI Licensed Vocational Nurse · San Luis Obispo, CA
NPI 1194181255 · NPPES record last updated Jan 5, 2016
Key facts
- NPI
- 1194181255
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 290187 (CA)
- Practice address
- 285 South St
Suite J
San Luis Obispo, CA 93401-5037 - Phone
- (805) 547-7025
- Fax
- (805) 549-0654
- NPI assigned
- Jan 5, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 290187 | CA | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 290187 | CA | Yes |
Addresses
Primary practice location
285 South St
Suite J
San Luis Obispo, CA 93401-5037
Mailing address
285 South St
Suite J
San Luis Obispo, CA 93401-5037
Phone (805) 547-7025
Other providers in San Luis Obispo, CA
- Kimberly Kay Allen
- Jennifer Allenbarker
- Regan Allendorf
- Jazzlynne Allensworth
- Allergy Partners of California, Inc.
- Tyson Allies
- Alyson Brooke Allison
- Ashley Allison
- Eric M. Alltucker
- Tatyana Shanae Almadin
All providers in San Luis Obispo, CA · Licensed Vocational Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.