Kadra Beverly Vaccaro, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA63905 Issued in CA

Practice address

7248 S Land Park Dr Ste 205
Sacramento, CA 95831-3661

Phone

(916) 392-4000

NPI assigned

Jan 10, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kadra Beverly Rademacher Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kadra.vaccaro.1@18067.direct.athenahealth.com
• Direct secure messaging: kvaccaro239022@hpmg.direct-ci.net

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.

• Garcia Lee and Concepcion Medical Group Inc

  • Family Medicine Physician
  • Sacramento, CA
  • NPI 1417020579
  Medicare reassignment
• Garcia, Lee & Concepcion Medical Group

  • Family Medicine Physician
  • West Sacramento, CA
  • NPI 1639368079
  NPD

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1356112262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7248 S LAND PARK DR STE 205",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958313661",
            "telephone_number": "916-392-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7248 S LAND PARK DR STE 205",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958313661",
            "telephone_number": "916-392-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VACCARO",
        "first_name": "KADRA",
        "middle_name": "BEVERLY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-10",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA63905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KADRA",
            "last_name": "RADEMACHER",
            "middle_name": "BEVERLY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Zeynep B Uzumcu, MD
• V S N F Inc
• VA Hospital Mather
• Sabrina Ahn Vaa, NP
• Brenda G Vaccaro, MA, PSYD
• Brad Thomas Vachon, DO
• Cara Lammers Vachon, DO
• Michaela Vachuska
• Milana Natalie Vachuska
• Phanikumar Srinivasa Vadarevu, M.D.

• Physician Assistant in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.

Verify at the official NPI Registry.