Provider Demographics
NPI:1578593778
Name:DA SILVA, FERNANDA N (MD)
Entity Type:Individual
Prefix:MISS
First Name:FERNANDA
Middle Name:N
Last Name:DA SILVA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7248 S LAND PARK DR
Mailing Address - Street 2:SUITE 205
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95831-3660
Mailing Address - Country:US
Mailing Address - Phone:916-392-4000
Mailing Address - Fax:916-392-7215
Practice Address - Street 1:7248 S LAND PARK DR
Practice Address - Street 2:SUITE 205
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95831-3660
Practice Address - Country:US
Practice Address - Phone:916-392-4000
Practice Address - Fax:916-392-7215
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2012-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA65096207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARGR0078350OtherMEDICAL
CAZZZ13639ZMedicare ID - Type Unspecified
CAH01603Medicare UPIN