Provider Demographics
NPI:1538493689
Name:SEBAT, ELENITSA EVYENIA (PA-C, MS)
Entity Type:Individual
Prefix:MS
First Name:ELENITSA
Middle Name:EVYENIA
Last Name:SEBAT
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Gender:F
Credentials:PA-C, MS
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Mailing Address - Street 1:4256 SUFFOLK WAY
Mailing Address - Street 2:
Mailing Address - City:EL DORADO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:95762-4117
Mailing Address - Country:US
Mailing Address - Phone:312-330-3102
Mailing Address - Fax:
Practice Address - Street 1:3301 C ST STE 1300
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-3370
Practice Address - Country:US
Practice Address - Phone:916-734-6111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-22
Last Update Date:2021-12-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA20415363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant