Individual provider Active NPI

Claudia Rose Varnedoe, PA-C

  • Physician Assistant
  • Sacramento, CA
National Provider Identifier
1811886856
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA66837 Issued in CA
Practice address
1860 Howe Ave Suite 455
Sacramento, CA 95825-1086
Phone
(916) 454-2345
NPI assigned
Jul 2, 2025
Last updated
Sep 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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 PA66837 CA Primary

Addresses

Primary practice location

1860 Howe Ave Suite 455
Sacramento, CA 95825-1086

Mailing address

1860 Howe Ave Suite 455
Sacramento, CA 95825-1086
Phone (916) 454-2345

Other practice location 1

3701 J St Ste 101
Sacramento, CA 95816-5542
Phone (916) 454-2345

Other identifiers 1

IdentifierTypeStateIssuer
1811886856MedicaidCA

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
I20250826004025 CA Practitioner - Physician Assistant 5092215798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1517 H St Apt
Suite 510
Sacramento, CA 95814-2069

1860 Howe Ave
Suite 440
Sacramento, CA 95825-1069

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA66837CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Elica Health Centers CurrentSince Sep 15, 2025 Accepting new patients
Elica Health Centers CurrentSince Sep 15, 2025 Accepting new patients
Innova Pharmacy II PastSince Apr 1, 2020 Accepting new patients

Locations

1750 Wright St
Ste 1
Sacramento, CA 95825

1860 Howe Ave
Ste 440
Sacramento, CA 95825

3701 J St
Ste 101
Sacramento, CA 95816
Phone (916) 220-3344

155 15th St
Ste A
West Sacramento, CA 95691
Phone (916) 375-8981

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, 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": "1751414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1811886856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 HOWE AVE SUITE 455",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958251086",
            "telephone_number": "916-454-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 HOWE AVE SUITE 455",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958251086",
            "telephone_number": "916-454-2345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3701 J St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958165542",
            "country_code": "US",
            "telephone_number": "916-454-2345",
            "fax_number": "916-272-1847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARNEDOE",
        "first_name": "CLAUDIA",
        "middle_name": "ROSE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-02",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA66837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811886856",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.