Provider Demographics
NPI:1326922311
Name:RIDGEWAY, SARAH ROSITA
Entity type:Individual
Prefix:MISS
First Name:SARAH
Middle Name:ROSITA
Last Name:RIDGEWAY
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 1:6489 GARDEN HWY UNIT 1
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991-9432
Mailing Address - Country:US
Mailing Address - Phone:530-415-0779
Mailing Address - Fax:530-415-0779
Practice Address - Street 1:8953 GARDEN HWY
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-9411
Practice Address - Country:US
Practice Address - Phone:530-491-8128
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-02
Last Update Date:2025-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant