Sara Brundage, DO
Pediatrics in Sacramento, CA. Individual provider (NPI-1).
NPI number1013597558
StatusActive
Last updated in NPPESSep 20, 2024
Details
- NPI
- 1013597558
- Entity type
- Individual (NPI-1)
- Name
- Sara Brundage
- Credential
- DO
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 9, 2021
- Certification date
- Sep 20, 2024
- Last updated
- Sep 20, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PEDIATRIC MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 20A20505 | CA | Yes |
Practice location
2516 Stockton BlvdSacramento, CA 95817-2208
Phone 916-734-3665
Mailing address
2516 Stockton BlvdSacramento, CA 95817-2208
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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