Individual provider Active NPI

Melissa G Rossi, PA

  • Physician Assistant
  • Folsom, CA
National Provider Identifier
1881878247
Registry record updated Aug 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA17852 Issued in CA
Practice address
1611 Creekside Dr Ste 102
Suite 602
Folsom, CA 95630-3490
Phone
(916) 984-9004
NPI assigned
Dec 20, 2007
Last updated
Aug 1, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2011

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 PA17852 CA Primary

Addresses

Primary practice location

1611 Creekside Dr Ste 102
Suite 602
Folsom, CA 95630-3490

Mailing address

1611 Creekside Dr Ste 102
Folsom, CA 95630-3490
Phone (916) 984-9004

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
I20081222000067 CA Practitioner - Physician Assistant 3173693488 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians

Practice addresses (Care Compare)

2055 Town Ctr PLZ
Suite G130
West Sacramento, CA 95691-5058
Phone (916) 887-7471

2575 E Bidwell St
Suite 100
Folsom, CA 95630-6445
Phone (916) 817-3710

2800 L St
Sacramento, CA 95816-5616

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17852CAMDClinical Psychologist
PA17852CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Valley Medical Foundation Physician Assistant CurrentSince Jun 28, 2021 Accepting new patients
Cep America - California CurrentSince Nov 1, 2015 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Jun 28, 2021 Accepting new patients
Cep America-California CurrentSince Nov 1, 2015 Accepting new patients
Sutter Regional Medical Foundation Physician Assistant Past Accepting new patients

Locations

11795 Education St
Ste 100
Auburn, CA 95602
Phone (530) 886-2300

11795 Education St
Ste 201
Auburn, CA 95602
Phone (530) 745-0720

2020 Sutter Pl
Ste 101
Davis, CA 95616
Phone (530) 750-5830

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

1650 Creekside Dr
Folsom, CA 95630
Phone (916) 983-7400

2575 E Bidwell St
Ste 160
Folsom, CA 95630
Phone (916) 817-3730

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

Interoperability endpoints

  • Direct secure messaging: mrossi235107@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, 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": "1198108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312156800000",
    "number": "1881878247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 CREEKSIDE DR STE 102",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303490",
            "telephone_number": "916-984-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 CREEKSIDE DR STE 102",
            "address_2": "SUITE 602",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303490",
            "telephone_number": "916-984-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSI",
        "first_name": "MELISSA",
        "middle_name": "G",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-20",
        "last_updated": "2011-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA17852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

Verify at the official NPI Registry.