Active NPI
Marc A Fierro, P.A.
- Medical Physician Assistant
- Roseville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA15185
- Practice address
- 2 Medical Plaza Dr Ste 205
Roseville, CA 95661-3044 - Phone
- (916) 773-8711
- NPI assigned
- Dec 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA15185 | CA | Primary |
Addresses
Primary practice location
2 Medical Plaza Dr Ste 205
Roseville, CA 95661-3044
Mailing address
PO Box 255228
Sacramento, CA 95865-5228
Other practice location 1
11333 Prospect Dr Ste 401
Jackson, CA 95642-9311
Phone (290) 268-0560
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2800 L St
Sacramento, CA 95816-5616
8 Medical Plaza Dr
Roseville, CA 95661-3106
Phone (916) 782-5106
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA15185 | CA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Wellspace Health | Current | Accepting new patients | |
| Kristine Burke MD, Inc. | Current | Accepting new patients | |
| Wellspace Health | Current | Accepting new patients | |
| Center for Functional & Integrative Medicine, Inc | Past | Accepting new patients | |
| Sutter North Medical Foundation | Past | Accepting new patients |
Locations
4901 Golden Foothill Pkwy
Ste C
El Dorado Hls, CA 95762
Phone (530) 676-1003
11333 Prospect Dr
Ste 401
Jackson, CA 95642
Phone (290) 268-0560
11333 Prospect Dr
Jackson, CA 95642
Phone (209) 268-0560
8 Medical Plaza Dr
Ste 300
Roseville, CA 95661
Phone (916) 782-5106
2 Medical Plaza Dr
Ste 205
Roseville, CA 95661
Phone (916) 773-8711
2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850
777 12th St
Ste 250
Sacramento, CA 95814
Phone (916) 469-4690
Interoperability endpoints
- mfierro221502@hisp.ehr.sutterhealth.org
Organizations & group practices 8
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.
-
- Multi-Specialty Clinic/Center
- Modesto, CA
- NPI 1669846986
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1124112933
-
- Family Medicine Physician
- Folsom, CA
- NPI 1417179714
-
- Durable Medical Equipment & Medical Supplies
- Tracy, CA
- NPI 1720930712
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1114682689
-
- Federally Qualified Health Center (FQHC)
- Martell, CA
- NPI 1225550874
-
- Family Medicine Physician
- Cameron Park, CA
- NPI 1518138254
-
- Ambulatory Surgical Clinic/Center
- Yuba City, CA
- NPI 1144251521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612137600000",
"number": "1861552556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 255228",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958655228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 MEDICAL PLAZA DR STE 205",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956613044",
"telephone_number": "916-773-8711"
}
],
"practiceLocations": [
{
"address_1": "11333 Prospect Dr Ste 401",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "CA",
"postal_code": "956429311",
"country_code": "US",
"telephone_number": "290-268-0560",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FIERRO",
"first_name": "MARC",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2021-02-01",
"certification_date": "2021-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA15185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.