Active NPI
Michaela Tricola
- Physician Assistant
- Fairfield, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 66426
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary'S Center for Maternal and Child Care, Inc | Current | Accepting new patients | |
| Ole Health | Current | Accepting new patients | |
| Marys Center for Maternal and Child Care Inc | Current | Accepting new patients | |
| Ole Health | Current | Accepting new patients | |
| Kids Overcoming, LLC | Past | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Napa, CA
- NPI 1700976503
-
- Federally Qualified Health Center (FQHC)
- Washington, DC
- NPI 1962520288
-
- Federally Qualified Health Center (FQHC)
- Fairfield, CA
- NPI 1245043165
-
- Federally Qualified Health Center (FQHC)
- Saint Helena, CA
- NPI 1295913366
-
- Federally Qualified Health Center (FQHC)
- Washington, DC
- NPI 1992164966
-
- Community/Retail Pharmacy
- Washington, DC
- NPI 1831635986
-
- Behavior Analyst
- San Jose, CA
- NPI 1730426420
-
- Federally Qualified Health Center (FQHC)
- Davis, CA
- NPI 1558366823
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.