Active NPI
Sarah Vaillancourt, NP
- Nurse Practitioner
- Palo Alto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95010894
- Practice address
- 725 Welch Rd
Palo Alto, CA 94304-1601 - Phone
- (650) 497-8000
- NPI assigned
- Oct 20, 2017
- Last updated
- Sep 14, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95010894 | CA | Primary |
| Women's Health Nurse Practitioner | 363LW0102X | 95010894 | CA |
Addresses
Primary practice location
725 Welch Rd
Palo Alto, CA 94304-1601
Mailing address
725 Welch Rd
Palo Alto, CA 94304-1601
Phone (650) 497-8000
Other practice location 1
461 21st Ave S
Nashville, TN 37240-1104
Phone (615) 322-8876
Other practice location 2
200 Cottage Ave
Manteca, CA 95336-4935
Phone (209) 624-5800
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201708786RN | OR | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Centers Inc | Current | Accepting new patients | |
| Community Medical Centers, Inc. | Current | Accepting new patients | |
| Community Medical Centers Inc | Current | Accepting new patients |
Locations
200 Cottage Ave
Ste 103
Manteca, CA 95336
Phone (209) 624-5800
7210 Murray Dr
Stockton, CA 95210
Phone (209) 373-2816
730 N Central Ave
Tracy, CA 95376
Phone (209) 820-1500
Interoperability endpoints
- sarah.vaillancourt.p1@direct.cmcentersinc.nextgenshare.com
- svaillancourt768694@direct.ochin.org
Organizations & group practices 3
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.
-
dba Esparto Family Practice
- Federally Qualified Health Center (FQHC)
- Esparto, CA
- NPI 1588729180
-
dba Community Medical Centers, Tracy Grant Line
- Federally Qualified Health Center (FQHC)
- Tracy, CA
- NPI 1164919049
-
dba Community Medical Centers, Lodi East
- Federally Qualified Health Center (FQHC)
- Lodi, CA
- NPI 1891529061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789344000000",
"number": "1558872291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 WELCH RD",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943041601",
"telephone_number": "650-497-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 WELCH RD",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943041601",
"telephone_number": "650-497-8000"
}
],
"practiceLocations": [
{
"address_1": "461 21st Ave S",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372401104",
"country_code": "US",
"telephone_number": "615-322-8876",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 Cottage Ave",
"address_purpose": "LOCATION",
"city": "Manteca",
"state": "CA",
"postal_code": "953364935",
"country_code": "US",
"telephone_number": "209-624-5800",
"fax_number": "209-762-6808",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VAILLANCOURT",
"first_name": "SARAH",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-20",
"last_updated": "2026-09-14",
"certification_date": "2026-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95010894",
"primary": true
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "CA",
"license": "95010894",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.