Provider Demographics
NPI:1265286710
Name:AUCKLAND, SARA (PHD, CLC)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:AUCKLAND
Suffix:
Gender:F
Credentials:PHD, CLC
Other - Prefix:DR
Other - First Name:SARA
Other - Middle Name:
Other - Last Name:ABADI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3802 CENTURY DR
Mailing Address - Street 2:
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95008-3835
Mailing Address - Country:US
Mailing Address - Phone:408-708-6725
Mailing Address - Fax:
Practice Address - Street 1:PENISULA PEDIATRIC MEDICAL GROUO
Practice Address - Street 2:103 GILBERT AVE
Practice Address - City:MENLO PARK
Practice Address - State:CA
Practice Address - Zip Code:94025
Practice Address - Country:US
Practice Address - Phone:650-497-0660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-12
Last Update Date:2024-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN