Active NPI
Marcelle Rita Sagerian, NP
- Adult Health Nurse Practitioner
- Roseville, CA
National Provider Identifier
1285780437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 13376
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13376 | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Medical Extended Care | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/19797/brand/1/csg/1/fhir/r4
- 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.
-
- Skilled Nursing Facility
- Sacramento, CA
- NPI 1295131092
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.