Individual provider Active NPI

Olga Vasilyevna Rodgers, PA-C

  • Medical Physician Assistant
  • Sacramento, CA
National Provider Identifier
1205020146
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
2801 K St
Suite 502
Sacramento, CA 95816-5120
Phone
(916) 731-7858
Fax
(916) 731-7877
NPI assigned
Sep 4, 2007
Sex
Female
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 Primary

Addresses

Primary practice location

2801 K St
Suite 502
Sacramento, CA 95816-5120

Mailing address

10470 Old Placerville Rd
Suite 100
Sacramento, CA 95827-2539
Phone (800) 470-0071

Other identifiers 1

IdentifierTypeStateIssuer
PA 18741OtherCALICENSE

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
I20071030000397 CA Practitioner - Physician Assistant 6608963251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians

Practice addresses (Care Compare)

1 Medical Plaza Dr
Roseville, CA 95661-3037
Phone (916) 454-6868

2800 L St
Sacramento, CA 95816-5616

2825 Capitol Ave
Sacramento, CA 95816-6039
Phone (916) 454-6600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18741CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Valley Medical Foundation CurrentSince Feb 23, 2022 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Feb 23, 2022 Accepting new patients
Radiological Associates of Sacramento Medical Group Inc Past Accepting new patients
Radiological Associates of Sacramento Medical Group Past Accepting new patients

Locations

3123 Professional Dr
Ste 100
Auburn, CA 95603
Phone (530) 888-8878

6620 Coyle Ave
Ste 110
Carmichael, CA 95608
Phone (916) 646-8300

2000 Sutter Pl
Davis, CA 95616
Phone (530) 756-6440

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

1661 Creekside Dr
Folsom, CA 95630
Phone (916) 984-0739

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

5 Medical Plaza Dr
Ste 140
Roseville, CA 95661
Phone (916) 262-2370

2 Medical Plaza Dr
Ste 180
Roseville, CA 95661
Phone (916) 781-1225

1640 E Roseville Pkwy
Ste 100
Roseville, CA 95661
Phone (916) 733-1970

2801 K St
Ste 502
Sacramento, CA 95816
Phone (877) 515-0053

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

2 Scripps Dr
Ste 110
Sacramento, CA 95825
Phone (916) 929-3393

8118 Timberlake Way
Ste 110
Sacramento, CA 95823
Phone (916) 681-8852

3161 L St
Sacramento, CA 95816
Phone (916) 453-9999

10470 Old Placerville Rd
Ste 100
Sacramento, CA 95827

200 Bella Vista Rd
Vacaville, CA 95687
Phone (707) 447-0400

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1205020146",
    "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": "2801 K ST",
            "address_2": "SUITE 502",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165120",
            "telephone_number": "916-731-7858",
            "fax_number": "916-731-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "OLGA",
        "middle_name": "VASILYEVNA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-04",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PA 18741",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.