Basic Information
Provider Information
NPI: 1487119525
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GALINATO
FirstName: SARAH GAYLE
MiddleName: SADUMIANO
NamePrefix:  
NameSuffix:  
Credential: FNP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4855 ATHERTON AVE STE 101
Address2:  
City: SAN JOSE
State: CA
PostalCode: 951301026
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 4855 ATHERTON AVE STE 101
Address2:  
City: SAN JOSE
State: CA
PostalCode: 951301026
CountryCode: US
TelephoneNumber: 4089632400
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/03/2019
LastUpdateDate: 06/01/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X95010313CAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


Home