Healthcare Provider Details

I. General information

NPI: 1245803055
Provider Name (Legal Business Name): NEELA AKBAR PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2021
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8170 LAGUNA BLVD STE 113
ELK GROVE CA
95758-7902
US

IV. Provider business mailing address

8170 LAGUNA BLVD STE 113
ELK GROVE CA
95758-7902
US

V. Phone/Fax

Practice location:
  • Phone: 916-478-6561
  • Fax:
Mailing address:
  • Phone: 916-478-6561
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA60196
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: