Organization Active NPI

Capitol Medical Care PC

  • Geriatric Medicine (Family Medicine) Physician
  • Rocklin, CA
National Provider Identifier
1194607465
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
Legal business name
CAPITOL MEDICAL CARE PC
Practice address
4115 Willow Creek Way
Rocklin, CA 95765-5782
Phone
(916) 938-9280
NPI assigned
Jul 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Authorized official

Name
Jayanth TalluriNPI 1265653356
Title
MD
Phone
(916) 938-9280

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QG0300X Primary

Addresses

Primary practice location

4115 Willow Creek Way
Rocklin, CA 95765-5782

Mailing address

4115 Willow Creek Way
Rocklin, CA 95765-5782

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260401001141 CA Part B Supplier - Clinic/Group Practice 3375028970 Receives reassigned benefits from 1 practitioner
Practice locations: Rocklin, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1753401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769040000000",
    "number": "1194607465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4115 WILLOW CREEK WAY",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957655782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 WILLOW CREEK WAY",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957655782",
            "telephone_number": "916-938-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITOL MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-25",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A",
        "authorized_official_last_name": "TALLURI",
        "authorized_official_first_name": "JAYANTH",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "916-938-9280"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocklin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.