Active NPI
Mariah Rose Mundt, PA-C
- Physician Assistant
- Auburn, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 65718
- Practice address
- 11795 Education St Ste 110
Auburn, CA 95602-2469 - Phone
- (530) 886-6820
- NPI assigned
- Sep 2, 2024
- Last updated
- Apr 9, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 65718 | CA | Primary |
Addresses
Primary practice location
11795 Education St Ste 110
Auburn, CA 95602-2469
Mailing address
PO Box 255228
Sacramento, CA 95865-5228
Other practice location 1
1273 Honey Run Rd
Chico, CA 95928-8848
Phone (530) 570-4096
Other practice location 2
6620 Coyle Ave
Carmichael, CA 95608-6333
Phone (916) 536-9455
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sutter Valley Medical Foundation
Practice addresses (Care Compare)
2800 L St
Sacramento, CA 95816-5616
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65718 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Valley Medical Foundation | Physician Assistant | Current | Accepting new patients |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Sutter Regional Medical Foundation | Physician Assistant | Past | Accepting new patients |
Locations
11795 Education St
Ste 110
Auburn, CA 95602
Phone (530) 886-6820
8200 Laguna Blvd
Elk Grove, CA 95758
Phone (916) 544-5400
2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731
815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900
1409 E Briggsmore Ave
Modesto, CA 95355
Phone (209) 550-4725
600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755
2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850
8011 Don Ave
Stockton, CA 95209
Phone (209) 955-3001
250 W Main St
Woodland, CA 95695
Phone (916) 668-6100
460 Plumas Blvd
Ste 202
Yuba City, CA 95991
Phone (530) 749-5500
Interoperability endpoints
- mmundt732638@hisp.ehr.sutterhealth.org
Organizations & group practices 8
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.
-
dba Briggsmore Surgery Center
- Ambulatory Surgical Clinic/Center
- Modesto, CA
- NPI 1346615150
-
dba Sutter North Surgery Center
- Ambulatory Surgical Clinic/Center
- Yuba City, CA
- NPI 1457593980
-
dba Stockton Surgery Center
- Ambulatory Surgical Clinic/Center
- Stockton, CA
- NPI 1467825844
-
- Ambulatory Surgical Clinic/Center
- Elk Grove, CA
- NPI 1972877264
-
dba Sutter Gould Medical Foundation
- Multi-Specialty Clinic/Center
- Modesto, CA
- NPI 1669846986
-
dba Sutter Regional Medical Foundation
- Multi-Specialty Clinic/Center
- Fairfield, CA
- NPI 1184859894
Physician Assistant
-
- Durable Medical Equipment & Medical Supplies
- Tracy, CA
- NPI 1720930712
-
- Family Medicine Physician
- Fairfield, CA
- NPI 1558388504
Physician Assistant
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sutter Auburn Faith Hospital
- General Acute Care Hospital
- Auburn, CA
- NPI 1194774299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744156800000",
"number": "1356176200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 255228",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958655228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11795 EDUCATION ST STE 110",
"city": "AUBURN",
"state": "CA",
"postal_code": "956022469",
"telephone_number": "530-886-6820"
}
],
"practiceLocations": [
{
"address_1": "1273 Honey Run Rd",
"address_purpose": "LOCATION",
"city": "Chico",
"state": "CA",
"postal_code": "959288848",
"country_code": "US",
"telephone_number": "530-570-4096",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6620 Coyle Ave",
"address_purpose": "LOCATION",
"city": "Carmichael",
"state": "CA",
"postal_code": "956086333",
"country_code": "US",
"telephone_number": "916-536-9455",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUNDT",
"first_name": "MARIAH",
"middle_name": "ROSE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-02",
"last_updated": "2025-04-09",
"certification_date": "2025-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "65718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.