Provider Demographics
NPI:1346134699
Name:DOROFEYEV, NATALIYA (PA-C)
Entity type:Individual
Prefix:
First Name:NATALIYA
Middle Name:
Last Name:DOROFEYEV
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:NATALIYA
Other - Middle Name:
Other - Last Name:KARPACH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1200 FULTON AVE APT 121
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-5301
Mailing Address - Country:US
Mailing Address - Phone:916-838-5707
Mailing Address - Fax:
Practice Address - Street 1:6839 FIVE STAR BLVD STE D
Practice Address - Street 2:
Practice Address - City:ROCKLIN
Practice Address - State:CA
Practice Address - Zip Code:95677-2685
Practice Address - Country:US
Practice Address - Phone:916-964-2001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-03
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant