Individual provider Active NPI

Robert Nordman, PA

  • Physician Assistant
  • Auburn, CA
National Provider Identifier
1891783338
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
52402 Issued in CA
Practice address
13300 New Airport Rd Ste 100
Auburn, CA 95602-7407
Phone
(530) 889-8780
Fax
(530) 889-8781
NPI assigned
Oct 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 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 52402 CA Primary

Addresses

Primary practice location

13300 New Airport Rd Ste 100
Auburn, CA 95602-7407

Mailing address

13300 New Airport Rd Ste 100
Auburn, CA 95602-7407
Phone (530) 889-8780

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
I20160217001081 CA Practitioner - Physician Assistant 7517970700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Beautiful Minds Medical, Inc.Group PAC ID 3072783364, 14 clinicians

Practice addresses (Care Compare)

13300 New Airport Rd
Auburn, CA 95602-7407
Phone (530) 889-8780

Merit-based Incentive Payment System (MIPS)

Final score
95.22 of 100Reported as group
Quality
100
Improvement activities
40
Cost
72.4

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4449AZMDNuclear Cardiology Physician
5601003838MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Verde Valley Connection Primary Care PLC Past Accepting new patients
Center for Physical Medicine & Rehabilitation PC Past Accepting new patients
Rehabilitation Physicians PC Past Accepting new patients
Macomb Neurology Associates PC Past Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1891783338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13300 NEW AIRPORT RD STE 100",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956027407",
            "telephone_number": "530-889-8780",
            "fax_number": "530-889-8781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13300 NEW AIRPORT RD STE 100",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956027407",
            "telephone_number": "530-889-8780",
            "fax_number": "530-889-8781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORDMAN",
        "first_name": "ROBERT",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "52402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, CA

Sources for this page

Verify at the official NPI Registry.