Provider Demographics
NPI:1730373366
Name:PEREIRA, CLIFFORD THOMAS (MD)
Entity type:Individual
Prefix:DR
First Name:CLIFFORD
Middle Name:THOMAS
Last Name:PEREIRA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2315 STOCKTON BLVD. - DEPARTMENT OF SURGERY
Mailing Address - Street 2:NAOB SUITE 6001
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-2201
Mailing Address - Country:US
Mailing Address - Phone:310-222-2700
Mailing Address - Fax:310-533-1841
Practice Address - Street 1:2315 STOCKTON BLVD. - DEPARTMENT OF SURGERY
Practice Address - Street 2:NAOB SUITE 6001
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-2201
Practice Address - Country:US
Practice Address - Phone:310-222-2700
Practice Address - Fax:310-533-1841
Is Sole Proprietor?:No
Enumeration Date:2007-08-27
Last Update Date:2019-10-04
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Provider Licenses
StateLicense IDTaxonomies
CAA101130208600000X, 208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery