Individual provider Active NPI

Rodney Faucett, DO

  • Internal Medicine Physician
  • West Sacramento, CA
National Provider Identifier
1558468207
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A5369 Issued in CA
Practice address
1276 Halyard Dr
West Sacramento, CA 95691-3412
Phone
(530) 865-5544
Fax
(530) 865-9209
NPI assigned
Sep 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 20A5369 CA
Internal Medicine Physician 207R00000X 20A5369 CA Primary

Addresses

Primary practice location

1276 Halyard Dr
West Sacramento, CA 95691-3412

Mailing address

1860 Howe Ave Ste 335
Sacramento, CA 95825-1206
Phone (916) 569-8484

Other identifiers 2

IdentifierTypeStateIssuer
00AX53690MedicaidCA
110065910OtherCARAILROAD MEDICARE

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
I20250630000835 CA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 2264469923

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A5369CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dialysis Access Center a Medical Corporation PastSince Oct 15, 2023 Accepting new patients
Dialysis Access Center a Medical Corporation Nephrology PastSince Oct 15, 2023 Accepting new patients
Paradise Medical Group, Inc. Internal Medicine Past Accepting new patients
Post-Acute Care Physicians, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rfaucett716970@direct.ochin.org

Organizations & group practices 4

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": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1558468207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 HOWE AVE STE 335",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958251206",
            "telephone_number": "916-569-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1276 HALYARD DR",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956913412",
            "telephone_number": "530-865-5544",
            "fax_number": "530-865-9209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUCETT",
        "first_name": "RODNEY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "20A5369",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A5369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX53690",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110065910",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Sacramento, CA

Sources for this page

Verify at the official NPI Registry.