Individual provider Active NPI

Marcelle Rita Sagerian, NP

  • Adult Health Nurse Practitioner
  • Roseville, CA
National Provider Identifier
1285780437
Registry record updated Oct 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
13376 Issued in CA
Practice address
3001 Douglas Blvd
Suite #150
Roseville, CA 95661-3851
Phone
(858) 353-0392
Fax
(760) 440-9602
NPI assigned
Jan 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 13376 CA Primary
Gerontology Nurse Practitioner 363LG0600X 13376 CA

Addresses

Primary practice location

3001 Douglas Blvd
Suite #150
Roseville, CA 95661-3851

Mailing address

25219 Kerri LN
Ramona, CA 92065-4729
Phone (858) 353-0392

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
13376CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Medical Extended Care Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19797/brand/1/csg/1/fhir/r4
  • Direct secure messaging: msagerian@landmarkhealth-direct.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1169856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413936000000",
    "number": "1285780437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25219 KERRI LN",
            "city": "RAMONA",
            "state": "CA",
            "postal_code": "920654729",
            "telephone_number": "858-353-0392",
            "fax_number": "760-440-9602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 DOUGLAS BLVD",
            "address_2": "SUITE #150",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613851",
            "telephone_number": "858-353-0392",
            "fax_number": "760-440-9602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGERIAN",
        "first_name": "MARCELLE",
        "middle_name": "RITA",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-27",
        "last_updated": "2014-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "13376",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "13376",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.