Provider Demographics
NPI:1487129516
Name:SAKAMOTO, KATRINA ALEGARBES
Entity type:Individual
Prefix:
First Name:KATRINA
Middle Name:ALEGARBES
Last Name:SAKAMOTO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4601 AVENIDA DE LAS ESTRELL
Mailing Address - Street 2:
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92886-3102
Mailing Address - Country:US
Mailing Address - Phone:551-574-2718
Mailing Address - Fax:
Practice Address - Street 1:4601 AVENIDA DE LAS ESTRELL
Practice Address - Street 2:
Practice Address - City:YORBA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92886-3102
Practice Address - Country:US
Practice Address - Phone:551-574-2718
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-04
Last Update Date:2021-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95010199363LF0000X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily