Individual provider Active NPI

Craig A. Rhoades, PA

  • Medical Physician Assistant
  • Marysville, CA
National Provider Identifier
1164612990
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
363AM0700X Issued in CA
Practice address
1908 N Beale Rd Ste E
Marysville, CA 95901-6937
Phone
(530) 743-6888
Fax
(530) 743-9823
NPI assigned
Jul 27, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 363AM0700X CA Primary

Addresses

Primary practice location

1908 N Beale Rd Ste E
Marysville, CA 95901-6937

Mailing address

1531 Plumas CT
Suite B
Yuba City, CA 95991-2966
Phone (530) 751-4900

Other identifiers 1

IdentifierTypeStateIssuer
19345OtherCAPA-C

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
I20071218000138 CA Practitioner - Physician Assistant 6002906849 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
19345CAMDClinical Social Worker
363AM0700XCAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ampla Health CurrentSince Apr 26, 2016 Accepting new patients
Ampla Health CurrentSince Apr 26, 2016 Accepting new patients

Locations

2800 Lincoln St
Oroville, CA 95966
Phone (530) 534-7500

Interoperability endpoints

  • Direct secure messaging: crhoades644315@direct.ochin.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Harmony Health Medical Clinic and Family Resource CenterMarysville, CA, CCN 751823 Federally qualified health center W-2 Managing Employee Jul 25, 2018

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1164612990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 PLUMAS CT",
            "address_2": "SUITE B",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959912966",
            "telephone_number": "530-751-4900",
            "fax_number": "530-751-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 N BEALE RD STE E",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959016937",
            "telephone_number": "530-743-6888",
            "fax_number": "530-743-9823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHOADES",
        "first_name": "CRAIG",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-27",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "363AM0700X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA-C",
            "identifier": "19345",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, CA

Sources for this page

Verify at the official NPI Registry.