Individual provider Active NPI

Vance J Van Tassell, M.D.

  • Emergency Medicine Physician
  • Rocklin, CA
National Provider Identifier
1417957341
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
G73627 Issued in CA
Practice address
6805 Five Star Blvd Ste 100
Rocklin, CA 95677-4135
Phone
(916) 624-3500
NPI assigned
Jul 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X G73627 CA Primary

Addresses

Primary practice location

6805 Five Star Blvd Ste 100
Rocklin, CA 95677-4135

Mailing address

6805 Five Star Blvd
Suite 100
Rocklin, CA 95677-4135
Phone (916) 624-3500

Other identifiers 1

IdentifierTypeStateIssuer
00G736270MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080707000711 CA Practitioner - Emergency Medicine 0547332652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Oral Roberts University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Turnure Medical Group Inc SPCGroup PAC ID 4486541307, 2 clinicians

Practice addresses (Care Compare)

6805 Five Star Blvd
Rocklin, CA 95677-4135
Phone (916) 624-3500

Hospital & facility affiliations

  • Bristol Hospice - Sacramento, LLC Hospice, Roseville, CA, CCN 551538
  • Sutter Care at Home Hospice, Roseville, CA, CCN 051652

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Turnure Medical Group Inc SPC CurrentSince Nov 1, 2011 Accepting new patients
Roseville Urology, Inc. PastSince Apr 28, 2024 Accepting new patients

Locations

6805 Five Star Blvd
Ste 100
Rocklin, CA 95677
Phone (916) 624-3500

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1417957341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6805 FIVE STAR BLVD",
            "address_2": "SUITE 100",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956774135",
            "telephone_number": "916-624-3500",
            "fax_number": "916-624-3351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6805 FIVE STAR BLVD STE 100",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956774135",
            "telephone_number": "916-624-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN TASSELL",
        "first_name": "VANCE",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G73627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G736270",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocklin, CA

Sources for this page

Verify at the official NPI Registry.