Basic Information
| Provider Information | |||||||||
| NPI: | 1235504952 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | OBIKE | ||||||||
| FirstName: | SARAH | ||||||||
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| Credential: | NP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9825 MAGNOLIA AVE | ||||||||
| Address2: | SUITE B, PMB 322 | ||||||||
| City: | RIVERSIDE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 925033562 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9512170738 | ||||||||
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| Practice Location | |||||||||
| Address1: | 9990 COUNTY FARM RD | ||||||||
| Address2: | SUITE 6 | ||||||||
| City: | RIVERSIDE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 925033542 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9512170738 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/07/2015 | ||||||||
| LastUpdateDate: | 12/18/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/18/2019 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LP0808X | 95013520 | CA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psych/Mental Health | 163W00000X | 647341 | CA | N | Nursing Service Providers | Registered Nurse |
No ID Information.