Sarah Margaret Grimes, MD
Individual provider Active NPI Family Medicine Physician · San Andreas, CA
NPI 1922037563 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1922037563
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- G66157 (CA)
- Practice address
- 702 Mountain Ranch Rd
San Andreas, CA 95249 - Phone
- (209) 754-0870
- Fax
- (209) 754-0878
- NPI assigned
- Jul 3, 2006
- 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)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G66157 | CA | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G66157 | CA | Yes |
Addresses
Primary practice location
702 Mountain Ranch Rd
San Andreas, CA 95249
Mailing address
PO Box 636
San Andreas, CA 95249
Phone (209) 754-0870
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G661570 | Medicaid | CA |
Other providers in San Andreas, CA
- Jesus Gonzales
- Monique Raquel Gonzales
- Suzanna Gonzalez
- Stefanie Gray
- Julianna Greer
- Candice Megan Grismore
- Allison Denise Guyton
- Mikey Habbestad
- Anthony Halat
- Julie Anne Hall-Sweaza
All providers in San Andreas, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. 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.