Provider Demographics
NPI:1104271329
Name:SAAVEDRA, YAEL (PA, MHS)
Entity type:Individual
Prefix:MRS
First Name:YAEL
Middle Name:
Last Name:SAAVEDRA
Suffix:
Gender:F
Credentials:PA, MHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12417 FAIR OAKS BLVD
Mailing Address - Street 2:#600
Mailing Address - City:FAIR OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:95628-2501
Mailing Address - Country:US
Mailing Address - Phone:916-727-1400
Mailing Address - Fax:
Practice Address - Street 1:12417 FAIR OAKS BLVD
Practice Address - Street 2:#600
Practice Address - City:FAIR OAKS
Practice Address - State:CA
Practice Address - Zip Code:95628-2501
Practice Address - Country:US
Practice Address - Phone:916-727-1400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-25
Last Update Date:2016-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53168363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical