Individual provider Active NPI

Christopher Andrew Rhule

  • Medical Physician Assistant
  • Santa Rosa, CA
National Provider Identifier
1760089635
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
1551 Pacific Ave
Santa Rosa, CA 95404-3568
Phone
(707) 586-5555
NPI assigned
Oct 5, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X CA Primary

Addresses

Primary practice location

1551 Pacific Ave
Santa Rosa, CA 95404-3568

Mailing address

1551 Pacific Ave
Santa Rosa, CA 95404-3568
Phone (707) 586-5555

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
I20231213002802 CA Practitioner - Physician Assistant 4981590973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
May accept Medicare assignment
Group practices
Goldhamer and Marano Chiropractic Ctr, Inc.Group PAC ID 6709945991, 5 clinicians

Practice addresses (Care Compare)

1551 Pacific Ave
Santa Rosa, CA 95404-3568
Phone (707) 586-5555

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9735MNMDGeneral Practice Dentistry

Organizations & group practices 1

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": "1601856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1760089635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 PACIFIC AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954043568",
            "telephone_number": "707-586-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 PACIFIC AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954043568",
            "telephone_number": "707-586-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHULE",
        "first_name": "CHRISTOPHER",
        "middle_name": "ANDREW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-05",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.