Individual provider Active NPI

Jennifer Arlene Rocha, PA-C

  • Physician Assistant
  • San Luis Obispo, CA
National Provider Identifier
1821343757
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA22367 Issued in CA
Practice address
895 Aerovista PL Ste 103
San Luis Obispo, CA 93401-8725
Phone
(805) 541-3200
Fax
(805) 541-3700
NPI assigned
Jul 17, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 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 PA22367 CA Primary

Addresses

Primary practice location

895 Aerovista PL Ste 103
San Luis Obispo, CA 93401-8725

Mailing address

895 Aerovista PL Ste 103
San Luis Obispo, CA 93401-8725
Phone (805) 541-3200

Other practice location 1

5920 West Mall
Atascadero, CA 93422-4232
Phone (805) 466-0676

Other identifiers 2

IdentifierTypeStateIssuer
1104509OtherNATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS
PA22367OtherCACALIFORNIA STATE LICENSE

Other names 1

  • Jennifer Arlene Mills Former name

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
I20130513000592 CA Practitioner - Physician Assistant 1254578123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
David B. HammerGroup PAC ID 3971559881, 117 clinicians

Practice addresses (Care Compare)

1051 Las Tablas Rd
Templeton, CA 93465-5603

1510 E Main St
Suite 104 C
Santa Maria, CA 93454-4825
Phone (805) 349-8514

5920 W Mall
Atascadero, CA 93422-4232
Phone (805) 466-0676

895 Aerovista PL
Suite 103
San Luis Obispo, CA 93401-8725
Phone (805) 541-2386

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Central Coast Health Centers CurrentSince Jul 1, 2016 Accepting new patients
Pacific Central Coast Health Centers CurrentSince Jul 1, 2016 Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients

Locations

5920 West Mall
Atascadero, CA 93422
Phone (805) 466-0676

877 Oak Park Blvd
Pismo Beach, CA 93449
Phone (805) 473-2200

1510 E Main St
Ste 104C
Santa Maria, CA 93454
Phone (805) 349-8514

117 W Bunny Ave
Santa Maria, CA 93458
Phone (805) 739-3474

895 Aerovista Pl
Ste 103
Sn Luis Obisp, CA 93401
Phone (805) 541-2368

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1821343757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 AEROVISTA PL STE 103",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934018725",
            "telephone_number": "805-541-3200",
            "fax_number": "805-541-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 AEROVISTA PL STE 103",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934018725",
            "telephone_number": "805-541-3200",
            "fax_number": "805-541-3700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5920 West Mall",
            "address_purpose": "LOCATION",
            "city": "Atascadero",
            "state": "CA",
            "postal_code": "934224232",
            "country_code": "US",
            "telephone_number": "805-466-0676",
            "fax_number": "805-466-4862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROCHA",
        "first_name": "JENNIFER",
        "middle_name": "ARLENE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-17",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA22367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS",
            "identifier": "1104509",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA STATE LICENSE",
            "identifier": "PA22367",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MILLS",
            "middle_name": "ARLENE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.