Individual provider Active NPI

Matthew Rich

  • Physician Assistant
  • Santa Rosa, CA
National Provider Identifier
1366153645
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
6574 Oakmont Dr Ste B
Santa Rosa, CA 95409-5958
Phone
(707) 579-4239
NPI assigned
Dec 8, 2022
Last updated
Dec 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

6574 Oakmont Dr Ste B
Santa Rosa, CA 95409-5958

Mailing address

6574 Oakmont Dr Ste B
Santa Rosa, CA 95409-5958
Phone (707) 579-4239

Other practice location 1

2725 Mendocino Ave
Santa Rosa, CA 95403-2805
Phone (707) 545-4537

Other practice location 2

1111 Sonoma Ave Ste 110
Santa Rosa, CA 95405-4813
Phone (707) 545-4537

Other practice location 3

555 S Dora St
Ukiah, CA 95482-5424
Phone (707) 462-3996

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
I20230315001695 CA Practitioner - Physician Assistant 3072987940 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roberta D Sengelmann MD IncGroup PAC ID 9931372133, 6 clinicians

Practice addresses (Care Compare)

2725 Mendocino Ave
Santa Rosa, CA 95403-2805
Phone (707) 545-4537

2921 De la Vina St
Santa Barbara, CA 93105-3309
Phone (805) 770-3999

Merit-based Incentive Payment System (MIPS)

Final score
83.33 of 100Reported as group
Quality
66.67
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
62118CAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Redwood Empire Dermatology Inc CurrentSince Dec 1, 2022 Accepting new patients
Permanente Medical Group Inc CurrentSince Dec 29, 2024 Accepting new patients
Redwood Fam Dermatology Medical Associates - a Medical Corporation CurrentSince Feb 1, 2026 Accepting new patients
Hayashida & Associates Physical Therapy, Inc. Past Accepting new patients
Jack F Mason MD Professional Corp PastSince Feb 1, 2026 Accepting new patients

Locations

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

1111 Sonoma Ave
Ste 110
Santa Rosa, CA 95405
Phone (707) 535-0838

2725 Mendocino Ave
Santa Rosa, CA 95403
Phone (707) 542-6313

4739 Hoen Ave
Santa Rosa, CA 95405
Phone (707) 528-4239

6574 Oakmont Dr
Ste B
Santa Rosa, CA 95409
Phone (707) 539-0336

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

555 S Dora St
Ukiah, CA 95482
Phone (707) 462-0581

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1366153645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6574 OAKMONT DR STE B",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954095958",
            "telephone_number": "707-579-4239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6574 OAKMONT DR STE B",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954095958",
            "telephone_number": "707-579-4239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2725 Mendocino Ave",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954032805",
            "country_code": "US",
            "telephone_number": "707-545-4537",
            "fax_number": "707-545-6726",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 Sonoma Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954054813",
            "country_code": "US",
            "telephone_number": "707-545-4537",
            "fax_number": "707-545-6726",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 S Dora St",
            "address_purpose": "LOCATION",
            "city": "Ukiah",
            "state": "CA",
            "postal_code": "954825424",
            "country_code": "US",
            "telephone_number": "707-462-3996",
            "fax_number": "707-462-3363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICH",
        "first_name": "MATTHEW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-08",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.