Individual provider Active NPI

Sara Joan Corzine, NP

  • Adult Health Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1669998340
Registry record updated Aug 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
95004852 Issued in CA
Practice address
2800 L St Ste 710
Sacramento, CA 95816-5616
Phone
(916) 887-4242
NPI assigned
Aug 15, 2017
Last updated
Aug 15, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 95004852 CA Primary

Addresses

Primary practice location

2800 L St Ste 710
Sacramento, CA 95816-5616

Mailing address

110 Sylvan Vista Dr
Auburn, CA 95603-3223

Other names 1

  • Sara Joan Decker Former name

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
I20210212002082 CA Practitioner - Nurse Practitioner 1759656713

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95004852CAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Valley Hospitals CurrentSince Nov 7, 2020 Accepting new patients
Sutter Valley Hospitals Current Accepting new patients
Sutter Valley Hospitals CurrentSince Nov 7, 2020 Accepting new patients

Locations

1625 Stockton Blvd
Ste 112
Sacramento, CA 95816
Phone (916) 887-4001

2800 L St
Ste 710
Sacramento, CA 95816
Phone (916) 300-8231

2825 Capitol Ave
Sacramento, CA 95816
Phone (916) 887-0000

Interoperability endpoints

  • Direct secure messaging: scorzine377710@hisp.ehr.sutterhealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502755200000",
    "number": "1669998340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SYLVAN VISTA DR",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956033223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 L ST STE 710",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165616",
            "telephone_number": "916-887-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORZINE",
        "first_name": "SARA",
        "middle_name": "JOAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-15",
        "last_updated": "2017-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95004852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "DECKER",
            "middle_name": "JOAN",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.