Individual provider Active NPI

Marcella Ruth McLarty, M.D.

  • Surgery Physician
  • Chico, CA
National Provider Identifier
1841295706
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G69923 Issued in CA
Practice address
2485 Notre Dame Blvd
Suite 370-16
Chico, CA 95928
Phone
(530) 809-2154
Fax
(530) 965-5598
NPI assigned
Jun 16, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X G69923 CA Primary

Addresses

Primary practice location

2485 Notre Dame Blvd
Suite 370-16
Chico, CA 95928

Mailing address

PO Box 1045
Chico, CA 95927-1045
Phone (530) 809-2154

Other practice location 1

3810 Plaza Way
Kennewick, WA 99338-2722
Phone (509) 221-6550 ext. 6521

Other identifiers 4

IdentifierTypeStateIssuer
P00135617OtherMEDICARE RAILROAD #
00G699230MedicaidCA
G69923OtherCACA MEDICAL LICENSE
61148980OtherWAWA STATE MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX, WA, TN4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20041018001257 CA Practitioner - General Surgery 8022078542 Reassigns benefits to 3 organizations
I20201223001669 TX Practitioner - General Surgery 8022078542
I20220124000001 WA Practitioner - General Surgery 8022078542 Reassigns benefits to 1 organization
I20220909002038 TN Practitioner - General Surgery 8022078542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Loma Linda University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Willits Hospital IncGroup PAC ID 7416940697, 67 clinicians

Practice addresses (Care Compare)

1 Marcela Dr
Willits, CA 95490-5769
Phone (707) 459-6801

3 Marcela Dr
Willits, CA 95490-5769
Phone (707) 459-4220

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy46
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Glenn Medical Center, LLC CurrentSince Nov 1, 2019 Accepting new patients
Willits Hospital Inc. CurrentSince Aug 1, 2023 Accepting new patients
Glenn Medical Center, LLC CurrentSince Nov 1, 2019 Accepting new patients
Glenn Medical Center, LLC Current Accepting new patients
Ukiah Adventist Hospital CurrentSince Aug 1, 2023 Accepting new patients
RCCH Trios Health LLC CurrentSince Nov 1, 2021 Accepting new patients
Cookeville Regional Medical Center CurrentSince Sep 1, 2022 Accepting new patients
Cookeville Regional Medical Center CurrentSince Sep 1, 2022 Accepting new patients
University Health Physicians Surgery Past Accepting new patients

Locations

1196 S Main St
Willits, CA 95490
Phone (707) 456-3020

1 Marcela Dr
Willits, CA 95490
Phone (707) 456-3001

1133 W Sycamore St
Willows, CA 95988
Phone (530) 934-1800

140 W 7th St
Cookeville, TN 38501
Phone (931) 783-5582

145 W 4th St
Ste 201
Cookeville, TN 38501
Phone (931) 372-7716

1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334

216 W 10th Ave
Ste 204
Kennewick, WA 99336
Phone (509) 221-5520

3810 Plaza Way
Kennewick, WA 99338
Phone (509) 221-7000

3730 Plaza Way
Kennewick, WA 99338
Phone (509) 221-6350

Interoperability endpoints

  • Direct secure messaging: mmclarty46659@enloedirect.org

Organizations & group practices 9

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 3

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1841295706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1045",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959271045",
            "telephone_number": "530-809-2154",
            "fax_number": "530-965-5508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2485 NOTRE DAME BLVD",
            "address_2": "SUITE 370-16",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "95928",
            "telephone_number": "530-809-2154",
            "fax_number": "530-965-5598"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3810 Plaza Way",
            "address_purpose": "LOCATION",
            "city": "Kennewick",
            "state": "WA",
            "postal_code": "993382722",
            "country_code": "US",
            "telephone_number": "509-221-6550 x6521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCLARTY",
        "first_name": "MARCELLA",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2023-03-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G69923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD #",
            "identifier": "P00135617",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G699230",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA MEDICAL LICENSE",
            "identifier": "G69923",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE MEDICAL LICENSE",
            "identifier": "61148980",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.