Provider Demographics
NPI:1528271764
Name:MACMAHON, SARAH PIPER (MD)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:PIPER
Last Name:MACMAHON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:ANN
Other - Last Name:PIPER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:710 LAWRENCE EXPY
Mailing Address - Street 2:DEPT. 190
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95051-5173
Mailing Address - Country:US
Mailing Address - Phone:408-554-9810
Mailing Address - Fax:408-851-1154
Practice Address - Street 1:710 LAWRENCE EXPY
Practice Address - Street 2:DEPT. 190
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95051-5173
Practice Address - Country:US
Practice Address - Phone:408-554-9810
Practice Address - Fax:408-851-1154
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA93180208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics