Mayya Sakr

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

License

GC000378 Issued in CA

Practice address

120 Azalea Cir
Boulder Creek, CA 95006-9603

Phone

(415) 999-1152

NPI assigned

Jan 29, 2014

Last updated

Jan 29, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sutter West Bay Medical Foundation

  dba Sutter Pacific Medical Foundation

  • Family Medicine Physician
  • San Francisco, CA
  • NPI 1104852789
  NPD (past)

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

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390953600000",
    "number": "1558784496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 AZALEA CIR",
            "city": "BOULDER CREEK",
            "state": "CA",
            "postal_code": "950069603",
            "telephone_number": "415-999-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 AZALEA CIR",
            "city": "BOULDER CREEK",
            "state": "CA",
            "postal_code": "950069603",
            "telephone_number": "415-999-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAKR",
        "first_name": "MAYYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-29",
        "last_updated": "2014-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "CA",
            "license": "GC000378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pia Ulrika Paakkonen, M.S. P.T
• Ethan Isaac Pearson
• Brandi Phillips, RN
• Jordenne Rachelle, MA
• Patrick Brendan Rogers, D.C.
• Mesk Samara
• Alexandra E. Schulthess, ND, BCDNM,CFMP
• Corinne Lyn Seymour, MA, LMFT
• Micah Elizabeth Smith-Khan, M.S., CCC-SLP
• Michelle Marlys South, LVN

• Genetic Counselor (M.S.) in Boulder Creek, CA
• Providers in Boulder Creek, CA by specialty
• Genetic Counselor (M.S.) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; 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.