Individual provider Active NPI

Rita A Stoufflet, MSPAS, MPH, PA-C

  • Medical Physician Assistant
  • Carmichael, CA
National Provider Identifier
1467576280
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
53693 Issued in CA
Practice address
6555 Coyle Ave Ste 180
Carmichael, CA 95608-0303
Phone
(916) 536-2408
Fax
(916) 536-2465
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT3112 TX
Medical Physician Assistant 363AM0700X 53693 CA Primary

Addresses

Primary practice location

6555 Coyle Ave Ste 180
Carmichael, CA 95608-0303

Mailing address

3400 Data Dr
Rancho Cordova, CA 95670-7956

Other practice location 1

1730 Prairie City Rd Ste 120
Folsom, CA 95630
Phone (916) 351-4800

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
I20170719001705 CA Practitioner - Physician Assistant 7012287394 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dignity Health Medical FoundationGroup PAC ID 7810800661, 1,211 clinicians

Practice addresses (Care Compare)

1650 Creekside Dr
Folsom, CA 95630-3400
Phone (916) 983-7476

1700 Prairie City Rd
Folsom, CA 95630-9594
Phone (916) 351-4800

1730 Prairie City Rd
Suite 120
Folsom, CA 95630-9594
Phone (916) 351-4800

3000 Q St
Sacramento, CA 95816-7058
Phone (916) 560-0319

4001 J St
Sacramento, CA 95819-3626
Phone (916) 453-4414

6501 Coyle Ave
Carmichael, CA 95608-0306
Phone (916) 537-5190

6511 Coyle Ave
Carmichael, CA 95608-0306
Phone (916) 556-3300

6555 Coyle Ave
Carmichael, CA 95608-0302

7500 Hospital Dr
Sacramento, CA 95823-5403
Phone (916) 423-6176

Hospital & facility affiliations

  • Mercy Hospital of Folsom Hospital, Folsom, CA, CCN 050414
  • Mercy San Juan Medical Center Hospital, Carmichael, CA, CCN 050516
  • Mercy General Hospital Hospital, Sacramento, CA, CCN 050017
  • Methodist Hospital of Sacramento Hospital, Sacramento, CA, CCN 050590

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53693CAMDPharmacist
AT3112TXMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Medical Foundation CurrentSince May 15, 2024 Accepting new patients
Permanente Medical Group Inc CurrentSince Jan 3, 2023 Accepting new patients
Permanente Medical Group, Inc CurrentSince Jan 3, 2023 Accepting new patients
Dignity Health Medical Foundation Current Accepting new patients
Dignity Health Past Accepting new patients
Dignity Health Medical Foundation Past Accepting new patients
Dignity Health Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

6555 Coyle Ave
Ste 180
Carmichael, CA 95608
Phone (916) 536-2408

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

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

3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726

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

3000 Q St
Fl 4
Sacramento, CA 95816
Phone (916) 733-5700

3000 Q St
Sacramento, CA 95816
Phone (916) 733-5701

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

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

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

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

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

Organizations & group practices 9

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 4

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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1467576280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6555 COYLE AVE STE 180",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080303",
            "telephone_number": "916-536-2408",
            "fax_number": "916-536-2465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1730 Prairie City Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Folsom",
            "state": "CA",
            "postal_code": "95630",
            "country_code": "US",
            "telephone_number": "916-351-4800",
            "fax_number": "916-351-4899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOUFFLET",
        "first_name": "RITA",
        "middle_name": "A",
        "credential": "MSPAS, MPH, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2024-01-31",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT3112",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "53693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

Verify at the official NPI Registry.