Individual provider Active NPI

Sowdhamini Gowda

  • Physician Assistant
  • Roseville, CA
National Provider Identifier
1366305336
Registry record updated Dec 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
5441 Fenton Way
Roseville, CA 95746-6301
Phone
(916) 780-2576
NPI assigned
Dec 6, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 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 CA Primary

Addresses

Primary practice location

5441 Fenton Way
Roseville, CA 95746-6301

Mailing address

5441 Fenton Way
Roseville, CA 95746-6301
Phone (916) 780-2576

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
I20260306001504 CA Practitioner - Physician Assistant 9830671965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Loma Linda University School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sierra Medical PartnershipGroup PAC ID 7810321858, 18 clinicians

Practice addresses (Care Compare)

1600 Creekside Dr
Suite 2500
Folsom, CA 95630-3485
Phone (916) 542-1458

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
67544CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sierra Medical Partnership CurrentSince Feb 16, 2026 Accepting new patients
Sierra Medical Partnership CurrentSince Feb 16, 2026 Accepting new patients

Locations

1600 Creekside Dr
Ste 2500
Folsom, CA 95630
Phone (916) 542-1458

Organizations & group practices 2

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": "1764979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764979200000",
    "number": "1366305336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5441 FENTON WAY",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957466301",
            "telephone_number": "916-780-2576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5441 FENTON WAY",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957466301",
            "telephone_number": "916-780-2576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOWDA",
        "first_name": "SOWDHAMINI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-06",
        "last_updated": "2025-12-06",
        "certification_date": "2025-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.