Active NPI
Laecio Lacerda Rocha, MD
- Family Medicine Physician
- Yreka, CA
National Provider Identifier
1932849643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A208087
- Practice address
- 444 Bruce St
Yreka, CA 96097-3450 - Phone
- (530) 841-2049
- NPI assigned
- Mar 30, 2022
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | A208087 | CA | |
| Obstetrics Physician | 207VX0000X | MD61615434 | WA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | A208087 | CA | Primary |
| Family Medicine Physician | 207Q00000X | MD61615434 | WA |
Addresses
Primary practice location
444 Bruce St
Yreka, CA 96097-3450
Mailing address
444 Bruce St
Yreka, CA 96097-3450
Phone (530) 841-2049
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9710 State Ave
Marysville, WA 98270-2232
Phone (360) 653-1742
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD61615434 | WA | MD | Obstetrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sea Mar Community Health Centers | Family Medicine | Current | Accepting new patients |
| Sea Mar Community Health Centers | Family Medicine | Current | Accepting new patients |
| Sea Mar Community Health Centers | Current | Accepting new patients | |
| Providence Health & Services-Wa | Past | Accepting new patients |
Locations
9710 State Ave
Marysville, WA 98270
Phone (360) 653-1742
17707 W Main St
Fl 1
Monroe, WA 98272
Phone (360) 282-3885
Interoperability endpoints
- lrocha665397@direct.multicare.org
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Aberdeen, WA
- NPI 1811051170
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Spanaway, WA
- NPI 1922624642
-
- Federally Qualified Health Center (FQHC)
- Everett, WA
- NPI 1962775270
Family Medicine
-
- General Acute Care Hospital
- Everett, WA
- NPI 1700037801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788307200000",
"number": "1932849643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "444 BRUCE ST",
"city": "YREKA",
"state": "CA",
"postal_code": "960973450",
"telephone_number": "530-841-2049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 BRUCE ST",
"city": "YREKA",
"state": "CA",
"postal_code": "960973450",
"telephone_number": "530-841-2049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCHA",
"first_name": "LAECIO",
"middle_name": "LACERDA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-30",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "A208087",
"primary": false
},
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "WA",
"license": "MD61615434",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A208087",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD61615434",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yreka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.