Individual ProviderSarah A JuddPediatricsAllopathic & Osteopathic PhysiciansPractice Address3020 Childrens Way, Mc-5075, San Diego, CA 92123-4223(858) 966-8800(858) 309-6290PECOS EnrollmentBased on the most recent information from CMS, provider Sarah A Judd does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 2:29 PM.Profile DetailsProvider ID1215975776Provider TypeIndividualFull NameJudd, Sarah ATitleDr.CredentialM.D., FAAPGenderFemaleSole ProprietorNoEnumeration Date6/4/2006Last Updated11/30/2021Contact InformationPractice LocationPractice Address3020 Childrens Way, Mc-5075, San Diego, CA 92123-4223Phone(858) 966-8800FaxUnlisted FaxMailing LocationMailing Address3860 Calle Fortunada, Suite #210, San Diego, CA 92123-4800Phone(858) 309-6290FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208000000XPrimaryDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseC54689CaliforniaCode173000000XDescriptionLegal MedicineOther Service ProvidersLicense054398GeorgiaCode208000000XDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseN4877TexasCode208000000XDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseME100594FloridaProvider IdentifiersIDDescriptionIssuerID280435200DescriptionMedicaidIssuerUnlistedFloridaID2155608DescriptionMedicaidIssuerUnlistedTexasID854480525ADescriptionMedicaidIssuerUnlistedGeorgia