Provider Demographics
NPI:1154359982
Name:NIEMI, SACHA Z (MD)
Entity type:Individual
Prefix:DR
First Name:SACHA
Middle Name:Z
Last Name:NIEMI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1580 VALENCIA ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-4423
Mailing Address - Country:US
Mailing Address - Phone:415-206-7541
Mailing Address - Fax:415-550-6784
Practice Address - Street 1:1580 VALENCIA ST
Practice Address - Street 2:SUITE 201
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-4423
Practice Address - Country:US
Practice Address - Phone:415-206-7541
Practice Address - Fax:415-550-6784
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2014-08-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101239382207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA199505OtherANTHEM
P00374863OtherRR/MEDICARE
VA010285712Medicaid
VA010285712Medicaid
VA199505OtherANTHEM