Individual provider Active NPI

Alisha Marie Mortenson, PA

  • Medical Physician Assistant
  • Rocklin, CA
National Provider Identifier
1134923238
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA66461 Issued in CA
Practice address
3104 Sunset Blvd Ste 2B
Rocklin, CA 95677-3093
Phone
(916) 624-0300
NPI assigned
Apr 1, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA66461 CA Primary

Addresses

Primary practice location

3104 Sunset Blvd Ste 2B
Rocklin, CA 95677-3093

Mailing address

2856 Applewood Dr
Lodi, CA 95242-8317
Phone (209) 369-2408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250612002029 CA Practitioner - Physician Assistant 7416468905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rocklin Family Practice and Sports MedicineGroup PAC ID 5395724777, 15 clinicians

Practice addresses (Care Compare)

3104 Sunset Blvd
Suite 2B
Rocklin, CA 95677-3093
Phone (916) 624-0300

985 Sun City LN
Suite 110
Lincoln, CA 95648-7519
Phone (916) 624-0300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA66461CAMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: amortenson741220@hisp.ehr.sutterhealth.org

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1743465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1134923238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2856 APPLEWOOD DR",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952428317",
            "telephone_number": "209-369-2408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 SUNSET BLVD STE 2B",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956773093",
            "telephone_number": "916-624-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTENSON",
        "first_name": "ALISHA",
        "middle_name": "MARIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-01",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA66461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocklin, CA

Sources for this page

Verify at the official NPI Registry.