Provider Demographics
NPI:1386442564
Name:TIRADOR, SABRINA
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:
Last Name:TIRADOR
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1232 CAMBERA LN
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-2345
Mailing Address - Country:US
Mailing Address - Phone:714-864-0532
Mailing Address - Fax:
Practice Address - Street 1:1232 CAMBERA LN
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-2345
Practice Address - Country:US
Practice Address - Phone:714-864-0532
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-04
Last Update Date:2025-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95253115163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse