Provider Demographics
NPI:1508273012
Name:PEREIRA DA SILVA, ELENA KAMAKANIKAILIALOHA
Entity type:Individual
Prefix:
First Name:ELENA
Middle Name:KAMAKANIKAILIALOHA
Last Name:PEREIRA DA SILVA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MAKANI
Other - Middle Name:
Other - Last Name:DA SILVA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSPAS, MPH
Mailing Address - Street 1:PO BOX 255228
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95865-5228
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3288 BELL RD
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95603-9243
Practice Address - Country:US
Practice Address - Phone:530-886-2300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-16
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA51657363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant