Individual provider Active NPI

Michaela Tricola

  • Physician Assistant
  • Fairfield, CA
National Provider Identifier
1013555325
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
66426 Issued in CA
Practice address
1313 Travis Blvd Ste a
Fairfield, CA 94533-4621
Phone
(707) 410-3840
Fax
(707) 254-1779
NPI assigned
Dec 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 66426 CA Primary

Addresses

Primary practice location

1313 Travis Blvd Ste a
Fairfield, CA 94533-4621

Mailing address

1141 Pear Tree LN
Napa, CA 94558-6484
Phone (707) 254-1770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240418003628 DC Practitioner - Physician Assistant 1658710918 Reassigns benefits to 1 organization
I20250522000986 CA Practitioner - Physician Assistant 1658710918 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mary'S Center for Maternal and Child Care, Inc CurrentSince Mar 10, 2024 Accepting new patients
Ole Health CurrentSince Jun 2, 2025 Accepting new patients
Marys Center for Maternal and Child Care Inc CurrentSince Mar 10, 2024 Accepting new patients
Ole Health CurrentSince Jun 2, 2025 Accepting new patients
Kids Overcoming, LLC PastSince Aug 2, 2020 Accepting new patients
Ole Health Past Accepting new patients

Locations

1313 Travis Blvd
Ste A
Fairfield, CA 94533
Phone (707) 251-1177

1141 Pear Tree Ln
Ste 100
Napa, CA 94558
Phone (707) 254-1778

6315 5th St NW
Washington, DC 20011
Phone (202) 671-6080

3912 Georgia Ave NW
Washington, DC 20011
Phone (844) 796-2797

2333 Ontario Rd NW
Washington, DC 20009
Phone (202) 420-7175

8908 Riggs Rd
Hyattsville, MD 20783
Phone (301) 422-5900

344 University Blvd W
Silver Spring, MD 20901
Phone (301) 439-0300

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DEIEAA

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1013555325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 PEAR TREE LN",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945586484",
            "telephone_number": "707-254-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 TRAVIS BLVD STE A",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945334621",
            "telephone_number": "707-410-3840",
            "fax_number": "707-254-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRICOLA",
        "first_name": "MICHAELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-17",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "66426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

Verify at the official NPI Registry.