Charles C Caporiccio, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA13364 Issued in CA

Practice address

470 Plumas Blvd
Suite 201
Yuba City, CA 95991-5077

Phone

(530) 749-3463

Fax

(530) 749-3479

NPI assigned

Jul 8, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1154354876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10470 OLD PLACERVILLE RD",
            "address_2": "SUITE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958272539",
            "telephone_number": "800-470-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 PLUMAS BLVD",
            "address_2": "SUITE 201",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959915077",
            "telephone_number": "530-749-3463",
            "fax_number": "530-749-3479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPORICCIO",
        "first_name": "CHARLES",
        "middle_name": "C",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA13364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00779822",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vanessa Rita Campos, ASW
• Erin Cannon
• Regina Audrey Cantrell
• Kayliana Nevaeh Cantu
• Emily Jean Capaul
• Heather Marie Caporiccio, MSPT
• Nicholas John Capos Jr., M.D.
• Alyssa Angelica Cardenas
• Stephanie Cardenas
• Ashlyn Carmack, PA-C

• Physician Assistant in Yuba City, CA
• Providers in Yuba City, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.

Verify at the official NPI Registry.