Individual provider Active NPI

Tatsiana Franco, PA

  • Physician Assistant
  • Fortuna, CA
National Provider Identifier
1558037465
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3750 Rohnerville Rd
Fortuna, CA 95540-3118
Phone
(707) 725-4477
NPI assigned
Aug 19, 2021
Last updated
Jul 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 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 Primary

Addresses

Primary practice location

3750 Rohnerville Rd
Fortuna, CA 95540-3118

Mailing address

3750 Rohnerville Rd
Fortuna, CA 95540-3118
Phone (707) 725-4477

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
I20240318002798 CA Practitioner - Physician Assistant 7719324474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of California, Davis School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2200 Tydd St
Eureka, CA 95501-1284
Phone (707) 441-1624

3750 Rohnerville Rd
Fortuna, CA 95540-3118
Phone (707) 725-6101

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60952CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Open Door Community Health Centers CurrentSince Jan 20, 2024 Accepting new patients
Open Door Community Health Centers CurrentSince Jan 20, 2024 Accepting new patients

Locations

1275 8th St
Arcata, CA 95521

2200 Tydd St
Eureka, CA 95501
Phone (707) 441-1624

3750 Rohnerville Rd
Fortuna, CA 95540
Phone (707) 725-4477

Interoperability endpoints

  • Direct secure messaging: tfranco595840@direct.ochin.org

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1558037465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 ROHNERVILLE RD",
            "city": "FORTUNA",
            "state": "CA",
            "postal_code": "955403118",
            "telephone_number": "707-725-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 ROHNERVILLE RD",
            "city": "FORTUNA",
            "state": "CA",
            "postal_code": "955403118",
            "telephone_number": "707-725-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANCO",
        "first_name": "TATSIANA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-19",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fortuna, CA

Sources for this page

Verify at the official NPI Registry.