Individual provider Active NPI

Dora Elva Buckhalter, PHYSICIAN ASSISTANT

  • Medical Physician Assistant
  • Sacramento, CA
National Provider Identifier
1962453902
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA 16135 Issued in CA
Practice address
7501 Hospital Dr Ste 203
Sacramento, CA 95823-5405
Phone
(916) 681-1130
Fax
(916) 681-1133
NPI assigned
May 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA 16135 CA Primary

Addresses

Primary practice location

7501 Hospital Dr Ste 203
Sacramento, CA 95823-5405

Mailing address

7501 Hospital Dr Ste 203
Sacramento, CA 95823-5405
Phone (916) 681-1130

Other practice location 1

9291 Laguna Springs Dr Ste A
Elk Grove, CA 95758-7843
Phone (916) 681-1130

Other identifiers 1

IdentifierTypeStateIssuer
PA16135OtherCACALIFORNIA LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PA 16135CAMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: drodriguez120743@hpmg.direct-ci.net

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1962453902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 HOSPITAL DR STE 203",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235405",
            "telephone_number": "916-681-1130",
            "fax_number": "916-681-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 HOSPITAL DR STE 203",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235405",
            "telephone_number": "916-681-1130",
            "fax_number": "916-681-1133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9291 Laguna Springs Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Elk Grove",
            "state": "CA",
            "postal_code": "957587843",
            "country_code": "US",
            "telephone_number": "916-681-1130",
            "fax_number": "916-681-1133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCKHALTER",
        "first_name": "DORA ELVA",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA 16135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA LICENSE NUMBER",
            "identifier": "PA16135",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.