Individual provider Active NPI

Sara Equihua, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Anaheim, CA
National Provider Identifier
1225987308
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95037278 Issued in CA
Practice address
1720 W Ball Rd Ste 4C
Anaheim, CA 92804-5591
Phone
(714) 683-1472
Fax
(714) 683-1473
NPI assigned
Jan 22, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 95037278 CA Primary

Addresses

Primary practice location

1720 W Ball Rd Ste 4C
Anaheim, CA 92804-5591

Mailing address

1720 W Ball Rd Ste 4C
Anaheim, CA 92804-5591
Phone (714) 683-1472

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260410003312 CA Practitioner - Nurse Practitioner 7416422092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coast Medical P CGroup PAC ID 2062951205, 8 clinicians

Practice addresses (Care Compare)

1720 W Ball Rd
Suite 4C
Anaheim, CA 92804-5591
Phone (714) 683-1472

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95037278CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coast Medical, PC Single Specialty CurrentSince Mar 27, 2026 Accepting new patients

Locations

1720 W Ball Rd
Ste 4C
Anaheim, CA 92804
Phone (714) 683-1472

1800 Wilshire Blvd
Los Angeles, CA 90057
Phone (213) 478-0460

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": "1769040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1225987308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 W BALL RD STE 4C",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928045591",
            "telephone_number": "714-683-1472",
            "fax_number": "714-683-1473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 W BALL RD STE 4C",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928045591",
            "telephone_number": "714-683-1472",
            "fax_number": "714-683-1473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EQUIHUA",
        "first_name": "SARA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-22",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95037278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.