Provider Demographics
NPI:1023090115
Name:KALAUOKALANI, DONNA A K (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:DONNA
Middle Name:A K
Last Name:KALAUOKALANI
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 CREEKSIDE DR STE 2700
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-3485
Mailing Address - Country:US
Mailing Address - Phone:916-467-4244
Mailing Address - Fax:916-404-0329
Practice Address - Street 1:1600 CREEKSIDE DR STE 2700
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-3485
Practice Address - Country:US
Practice Address - Phone:916-467-4244
Practice Address - Fax:916-404-0329
Is Sole Proprietor?:No
Enumeration Date:2005-11-15
Last Update Date:2017-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG086774207LP2900X
CAG86774208VP0000X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAT745SMedicare PIN
CAP01284668Medicare PIN