Sandra Joanne Pethan, is a
Student In An Organized Health Care Education/training Program based in Oakland, California. Sandra Joanne Pethan is licensed to practice in California (license number 124543) and her current practice location is
8945 Golf Links Rd, Oakland, California. She can be reached at her office (for appointments etc.) via phone at
(510) 317-1444.
NPI number for Sandra Joanne Pethan is 1477229615 and her current mailing address is 8945 Golf Links Rd, Oakland, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1477229615.
Healthcare Provider's Profile
Full Name | Sandra Joanne Pethan |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 8945 Golf Links Rd, Oakland, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1477229615
- Provider Enumeration Date: 08/18/2021
- Last Update Date: 12/28/2022
Medical Identifiers
Medical identifiers for Sandra Joanne Pethan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477229615 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 124543 (California) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 124543 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sandra Joanne Pethan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Sandra Joanne Pethan, 8945 Golf Links Rd, Oakland, CA 94605-4124 Ph: (510) 317-1444 | Sandra Joanne Pethan, 8945 Golf Links Rd, Oakland, CA 94605-4124 Ph: (510) 317-1444 |
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