Active NPI
James M Mabry, PA-C
- Surgical Physician Assistant
- Grass Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA22458
- Practice address
- 360 Sierra College Dr Ste 120
Grass Valley, CA 95945-5088 - Phone
- (530) 274-6222
- Fax
- (530) 242-4846
- NPI assigned
- Sep 5, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA22458 | CA | Primary |
Addresses
Primary practice location
360 Sierra College Dr Ste 120
Grass Valley, CA 95945-5088
Mailing address
3400 Data Dr
Rancho Cordova, CA 95670-7956
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
155 Glasson Way
Suite L 10
Grass Valley, CA 95945-5723
Phone (530) 274-6677
1700 Prairie City Rd
Folsom, CA 95630-9594
Phone (916) 351-4800
1730 Prairie City Rd
Suite 120
Folsom, CA 95630-9594
Phone (916) 351-4800
280 Sierra College Dr
Grass Valley, CA 95945-5763
360 Sierra College Dr
Suite 120
Grass Valley, CA 95945-5088
Phone (530) 477-8358
Hospital & facility affiliations
- Sierra Nevada Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA22458 | CA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marcus Daly Memorial Hospital Corporation | Current | Accepting new patients | |
| Marcus Daly Memorial Hospital Corporation | Current | Accepting new patients | |
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Sierra Nevada Memorial-Miners Hospital | Past | Accepting new patients | |
| Cogent Healthcare of California, PC | Physician Assistant | Past | Accepting new patients |
| Cogent Healthcare of California, PC | Physician Assistant | Past | Accepting new patients |
Locations
360 Sierra College Dr
Ste 120
Grass Valley, CA 95945
Phone (530) 477-7390
155 Glasson Way
Grass Valley, CA 95945
Phone (530) 274-6000
280 Sierra College Dr
Ste 105
Grass Valley, CA 95945
Phone (530) 273-3400
3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726
1224 W Main St
Hamilton, MT 59840
Phone (406) 375-4823
1200 Westwood Dr
Hamilton, MT 59840
Phone (406) 363-2211
Organizations & group practices 7
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.
-
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1700803418
-
- Critical Access Hospital
- Hamilton, MT
- NPI 1659475846
-
- Multi-Specialty Clinic/Center
- Grass Valley, CA
- NPI 1043456106
-
- Nephrology Physician
- Hamilton, MT
- NPI 1235997958
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1215956438
Physician Assistant
-
- Internal Medicine Physician
- San Bernardino, CA
- NPI 1366681074
Physician Assistant
-
- General Acute Care Hospital
- Grass Valley, CA
- NPI 1659361392
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grass Valley, CA
- NPI 1659361392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778025600000",
"number": "1093064107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 DATA DR",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956707956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 SIERRA COLLEGE DR STE 120",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959455088",
"telephone_number": "530-274-6222",
"fax_number": "530-242-4846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MABRY",
"first_name": "JAMES",
"middle_name": "M",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-05",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CA",
"license": "PA22458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grass Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.