Individual provider Active NPI

Jenna Rohlf

  • Student in an Organized Health Care Education/Training Program
  • Truckee, CA
National Provider Identifier
1184470221
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
11773 Deerfield Dr
Truckee, CA 96161-0508
Phone
(530) 386-0915
NPI assigned
Apr 29, 2024
Last updated
Apr 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Student in an Organized Health Care Education/Training Program 390200000X NU Primary

Addresses

Primary practice location

11773 Deerfield Dr
Truckee, CA 96161-0508

Mailing address

11773 Deerfield Dr
Truckee, CA 96161-0508

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
I20251110002282 CA Practitioner - Physician Assistant 3870083579 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Nevada School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Coast Urgent Care IncGroup PAC ID 2264561125, 12 clinicians

Practice addresses (Care Compare)

783 Quintana Rd
Suite 1
Morro Bay, CA 93442-1968
Phone (805) 771-0108

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Med-Stops Medical Clinic, Inc. CurrentSince Nov 15, 2025 Accepting new patients
Central Coast Urgent Care Inc CurrentSince Dec 1, 2025 Accepting new patients
Kristopher Lyon, MD & Rachel May, MD, a Medical Corporation CurrentSince Nov 15, 2025 Accepting new patients

Locations

9700 El Camino Real
Ste 100
Atascadero, CA 93422
Phone (805) 461-9000

1028 N Douty St
Hanford, CA 93230
Phone (559) 530-2526

783 Quintana Rd
Ste 1
Morro Bay, CA 93442
Phone (805) 771-0108

2 James Way
Ste 214
Pismo Beach, CA 93449
Phone (805) 295-6594

283 Madonna Rd
Ste B
Sn Luis Obisp, CA 93405
Phone (805) 549-8880

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1714348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1184470221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11773 DEERFIELD DR",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961610508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11773 DEERFIELD DR",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961610508",
            "telephone_number": "530-386-0915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROHLF",
        "first_name": "JENNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Truckee, CA

Sources for this page

Verify at the official NPI Registry.