Individual provider Active NPI

Salaiman Rasoli, PA-C

  • Physician Assistant
  • Carmichael, CA
National Provider Identifier
1245976943
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA61082 Issued in CA
Practice address
5318 Manzanita Ave
Carmichael, CA 95608-0512
Phone
(872) 231-3162
NPI assigned
May 6, 2022
Last updated
Oct 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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 PA61082 CA Primary
Physician Assistant 363A00000X CA

Addresses

Primary practice location

5318 Manzanita Ave
Carmichael, CA 95608-0512

Mailing address

PO Box 7410882
Chicago, IL 60674-0882
Phone (702) 899-0595

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
I20220623002876 CA Practitioner - Physician Assistant 6103205026 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of California, Davis School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elemental Living IncGroup PAC ID 7214385822, 8 clinicians
Permanente Medical Group IncGroup PAC ID 8921910225, 10,928 clinicians

Practice addresses (Care Compare)

Los Angeles, CA 90039
Phone (954) 231-5484

1 Quality Dr
Vacaville, CA 95688-9494
Phone (707) 624-4000

Merit-based Incentive Payment System (MIPS)

Final score
91.02 of 100Reported as group
Quality
69.73
Improvement activities
40
Cost
77.1

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA61082CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Glenl Xiong, Mdinc CurrentSince Oct 8, 2025 Accepting new patients
North Valley Medical Group LLC CurrentSince Oct 1, 2025 Accepting new patients
Elemental Living Inc Physician Assistant CurrentSince Aug 1, 2025 Accepting new patients
Integrative Sports and Spine Inc CurrentSince Nov 1, 2025 Accepting new patients
Northbay Healthcare Group CurrentSince Sep 1, 2025 Accepting new patients
Northbay Healthcare Group CurrentSince Sep 1, 2025 Accepting new patients
North Valley Specialty Group Inc. PastSince Nov 9, 2025 Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients
Northbay Healthcare Group Past Accepting new patients
BVM Therapy Inc. Past Accepting new patients

Locations

7777 Sunrise Blvd
Ste 2500
Citrus Hts, CA 95610
Phone (562) 997-2171

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

1860 Pennsylvania Ave
Ste 230
Fairfield, CA 94533
Phone (707) 429-6989

1601 Dove St
Ste 275
Newport Beach, CA 92660
Phone (310) 853-6390

10860 Gold Center Dr
Ste 255
Rancho Cordova, CA 95670
Phone (530) 649-7945

1161 Cirby Way
Roseville, CA 95661
Phone (916) 782-1238

2240 Northrop Ave
Sacramento, CA 95825
Phone (858) 247-0691

455 Florin Rd
Sacramento, CA 95831
Phone (916) 393-2550

500 Jessie Ave
Sacramento, CA 95838
Phone (916) 668-0683

1 Quality Dr
Vacaville, CA 95688
Phone (707) 453-5000

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

521 Lorel Way
Yuba City, CA 95991
Phone (216) 973-2202

301 Almeria Ave
Ste 240
Coral Gables, FL 33134
Phone (239) 842-6320

Interoperability endpoints

  • Direct secure messaging: srasoli765238@hisp.ehr.sutterhealth.org

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1245976943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7410882",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606740882",
            "telephone_number": "702-899-0595",
            "fax_number": "702-977-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5318 MANZANITA AVE",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080512",
            "telephone_number": "872-231-3162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASOLI",
        "first_name": "SALAIMAN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-06",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA61082",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

Verify at the official NPI Registry.