Provider Demographics
NPI:1306873484
Name:SAKAL, DON (PA)
Entity type:Individual
Prefix:
First Name:DON
Middle Name:
Last Name:SAKAL
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14662 SKYWAY
Mailing Address - Street 2:
Mailing Address - City:MAGALIA
Mailing Address - State:CA
Mailing Address - Zip Code:95954-9356
Mailing Address - Country:US
Mailing Address - Phone:530-873-1676
Mailing Address - Fax:530-873-2643
Practice Address - Street 1:14662 SKYWAY
Practice Address - Street 2:
Practice Address - City:MAGALIA
Practice Address - State:CA
Practice Address - Zip Code:95954-9356
Practice Address - Country:US
Practice Address - Phone:530-873-1676
Practice Address - Fax:530-873-2643
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2009-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14653363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA14653OtherPA