Mara Adelman, PHYSICIANS ASST PA
Individual provider Active NPI Physician Assistant · Fairfield, CA
NPI 1124053483 · NPPES record last updated Apr 3, 2026
Key facts
- NPI
- 1124053483
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA17260 (CA)
- Practice address
- 470 Chadbourne Rd Ste a
Fairfield, CA 94534-9620 - Phone
- (866) 268-4489
- NPI assigned
- Jul 12, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040928000327 | CA | Practitioner - Physician Assistant | 7810966785 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ole Health | Current |
Accepting new patients | |
| Ole Health | Current |
Accepting new patients | |
| Ole Health | Past | Accepting new patients |
Locations
1327 Berry St
Calistoga, CA 94515
Phone (707) 254-1775
470 Chadbourne Rd
Ste A
Fairfield, CA 94534
Phone (707) 419-8989
1141 Pear Tree Ln
Ste 100
Napa, CA 94558
Phone (707) 254-1778
Interoperability endpoints
- madelman675429@direct.ochin.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA17260 | CA | Yes |
Addresses
Primary practice location
470 Chadbourne Rd Ste a
Fairfield, CA 94534-9620
Mailing address
1141 Pear Tree LN
Napa, CA 94558-6484
Phone (707) 254-1770
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DPA172600 | Other | PPIN |
Other providers in Fairfield, CA
- Kevin Steven Adair
- Adams Shaffer DDS Inc
- Dawn Renee Adams
- Lasharey Adams
- Wayne Adams
- Marissa Aden
- Folasade Adesina
- Blessing Adesugba
- Sarah Santiago Adeva
- Amanda Catrice Adkins
All providers in Fairfield, CA · Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.