Individual provider Active NPI

Victoria Katarina McKinney-Brooks

  • Physician Assistant
  • Citrus Heights, CA
National Provider Identifier
1154000537
Registry record updated Nov 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA63679 Issued in CA
Practice address
7595 Baird Way
Citrus Heights, CA 95610-1409
Phone
(805) 535-8098
NPI assigned
Jul 13, 2023
Last updated
Nov 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2023

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 PA63679 CA Primary

Addresses

Primary practice location

7595 Baird Way
Citrus Heights, CA 95610-1409

Mailing address

7595 Baird Way
Citrus Heights, CA 95610-1409
Phone (805) 535-8098

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
I20240212001589 CA Practitioner - Physician Assistant 9638512155 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of California, Irvine, California College of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Natomas Urgent Care IncGroup PAC ID 4880937333, 5 clinicians
Davis Urgent Care IncGroup PAC ID 3779884937, 8 clinicians
Capitol Urgent Care IncGroup PAC ID 5294992343, 12 clinicians
Elk Grove Urgent Care IncGroup PAC ID 0648340976, 15 clinicians

Practice addresses (Care Compare)

4321 Truxel Rd
Suite F4
Sacramento, CA 95834-3753
Phone (916) 947-9110

4515 Fermi PL
Suite 105
Davis, CA 95618-9411
Phone (530) 759-9110

7200 S Land Park Dr
Suite 100
Sacramento, CA 95831-3669
Phone (916) 422-9110

9045 Bruceville Rd
Elk Grove, CA 95758-5950
Phone (916) 479-9110

9045 Bruceville Rd
Suite 100
Elk Grove, CA 95758-5948

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
63679CAMDPharmacist
PA63679CAMDPhysician Assistant

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700956800000",
    "number": "1154000537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7595 BAIRD WAY",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956101409",
            "telephone_number": "805-535-8098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7595 BAIRD WAY",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956101409",
            "telephone_number": "805-535-8098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY-BROOKS",
        "first_name": "VICTORIA",
        "middle_name": "KATARINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-13",
        "last_updated": "2023-11-26",
        "certification_date": "2023-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA63679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Citrus Heights, CA

Sources for this page

Verify at the official NPI Registry.