Chacon BNK PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

CHACON BNK PC

Doing business as

Rocklin Dermatology

Practice address

2203 Plaza Dr Ste 110
Rocklin, CA 95765-4427

Phone

(916) 938-2531

NPI assigned

Apr 19, 2024

Last updated

Aug 6, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stacy Northey

Title

Billing and Credentialing Manager

Phone

(928) 531-9171

Specialties & licenses 2

Addresses

Other names 1

• Rocklin Dermatology Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Zeth Thomas Rogers, PA-C

  • Physician Assistant
  • Auburn, CA
  • NPI 1306578414
  Medicare reassignment Care Compare group NPD
• Anna Haydee Chacon, M.D.

  • Dermatology Physician
  • Coral Gables, FL
  • NPI 1073950689

  CA

  Medicare reassignment Care Compare group NPD
• Dylan T Neal

  • Physician Assistant
  • Rocklin, CA
  • NPI 1457024606
  Medicare reassignment Care Compare group
• Siddharth Shah

  • Physician Assistant
  • Rocklin, CA
  • NPI 1275261729
  Medicare reassignment Care Compare group
• Karen Rae Walker, PA-C

  • Physician Assistant
  • Auburn, CA
  • NPI 1134883010
  Medicare reassignment Care Compare group
• Salaiman Rasoli, PA-C

  • Physician Assistant
  • Carmichael, CA
  • NPI 1245976943
  Medicare reassignment

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

{
    "created_epoch": "1713484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785974400000",
    "number": "1174378525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2203 PLAZA DR STE 110",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957654427",
            "telephone_number": "916-938-2531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 PLAZA DR STE 110",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957654427",
            "telephone_number": "916-938-2531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3250 Fortune Ct",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "CA",
            "postal_code": "956027847",
            "country_code": "US",
            "telephone_number": "916-938-2532",
            "fax_number": "877-569-2252",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1611 Creekside Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Folsom",
            "state": "CA",
            "postal_code": "956303490",
            "country_code": "US",
            "telephone_number": "916-938-2531",
            "fax_number": "877-569-2252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHACON BNK PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-19",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A",
        "authorized_official_last_name": "NORTHEY",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "BILLING AND CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "928-531-9171"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rocklin Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Center of Excellence in Pediatric Neurology Medical Inc
• Victoria Mosqueda Centi, BCBA
• Veronica Cerda
• Rosamaria Alina Cerezo, NONE
• Elizabeth Cha
• Chance Chacon
• David Chan, O.D.
• Geeta Chander
• Edward Chang
• Hsiao Chang

• Dermatology Physician in Rocklin, CA
• Providers in Rocklin, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.