Individual provider Active NPI

Mary Chien Rozelle, PA-C

  • Physician Assistant
  • Mountain View, CA
National Provider Identifier
1962449249
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA16380 Issued in CA
Practice address
2490 Hospital Dr
Suite 201
Mountain View, CA 94040-4122
Phone
(650) 962-4609
NPI assigned
Jun 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 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 PA16380 CA Primary

Addresses

Primary practice location

2490 Hospital Dr
Suite 201
Mountain View, CA 94040-4122

Mailing address

2490 Hospital Dr Ste 201
Mountain View, CA 94040-4124
Phone (650) 962-4609

Other practice location 1

1792 Tribute Rd Ste 200
Sacramento, CA 95815-4320
Phone (916) 678-7270

Other identifiers 1

IdentifierTypeStateIssuer
PA03108MedicaidCA

Other names 1

  • Mary Katherine Chien Former name

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
I20040408001510 CA Practitioner - Physician Assistant 9830183219 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16380CAMDOccupational Therapist
PA16380CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood Mar Monte, Inc. Past Accepting new patients
Medical Clinic of North Texas PLLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1962449249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 HOSPITAL DR STE 201",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404124",
            "telephone_number": "650-962-4609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 HOSPITAL DR",
            "address_2": "SUITE 201",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404122",
            "telephone_number": "650-962-4609"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1792 Tribute Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958154320",
            "country_code": "US",
            "telephone_number": "916-678-7270",
            "fax_number": "916-514-1799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROZELLE",
        "first_name": "MARY",
        "middle_name": "CHIEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA16380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA03108",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "CHIEN",
            "middle_name": "KATHERINE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mountain View, CA

Sources for this page

Verify at the official NPI Registry.