Individual provider Active NPI

Marcus Aaron Rhodenhill, L.AC., PA-C

  • Medical Physician Assistant
  • Grass Valley, CA
National Provider Identifier
1780892869
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
53033 Issued in CA
Practice address
2090 Nevada City Hwy
Grass Valley, CA 95945-7702
Phone
(530) 274-5020
NPI assigned
May 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 11675 CA
Medical Physician Assistant 363AM0700X 53033 CA Primary

Addresses

Primary practice location

2090 Nevada City Hwy
Grass Valley, CA 95945-7702

Mailing address

3853 W Stetson Ave
Suite #100
Hemet, CA 92545-9674
Phone (303) 204-6088

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
I20190507001090 CA Practitioner - Physician Assistant 4284905795 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Loma Linda University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eric L Ellis MD IncGroup PAC ID 9032458815, 17 clinicians

Practice addresses (Care Compare)

5007 Foothills Blvd
Roseville, CA 95747-6503
Phone (916) 727-6846

5290 Douglas Blvd
Granite Bay, CA 95746-6205
Phone (916) 258-2751

77 Lincoln Blvd
Suite 1
Lincoln, CA 95648-7422
Phone (916) 258-2751

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53033CAMDGeneral Practice Dentistry
11675CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Western Sierra Medical Clinic, Inc. CurrentSince Jan 3, 2022 Accepting new patients
Western Sierra Medical Clinic, Inc. CurrentSince Jan 3, 2022 Accepting new patients
Sutter North Medical Foundation Past Accepting new patients

Locations

844 Old Tunnel Rd
Grass Valley, CA 95945
Phone (530) 273-4984

Interoperability endpoints

  • Direct secure messaging: marcus.rhodenhill.1@19336.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1179619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1780892869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3853 W STETSON AVE",
            "address_2": "SUITE #100",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925459674",
            "telephone_number": "303-204-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 NEVADA CITY HWY",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959457702",
            "telephone_number": "530-274-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHODENHILL",
        "first_name": "MARCUS",
        "middle_name": "AARON",
        "credential": "L.AC., PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-20",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "11675",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "53033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

Verify at the official NPI Registry.