Xavier A Pierce Rocha, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

12476407-1206 Issued in UT

Practice address

325 W Center St
Spanish Fork, UT 84660-2060

Phone

(801) 798-7301

Fax

(801) 798-8513

NPI assigned

Jun 15, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

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

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Canyon View Medical Group LLC

  • Obstetrics & Gynecology Physician
  • Payson, UT
  • NPI 1477709772

  UT

  Medicare reassignment
• Ihc Health Services Inc

  • Multi-Specialty Clinic/Center
  • Sandy, UT
  • NPI 1942325154

  UT

  Medicare reassignment
• Canyon View Medical Group LLC

  • Family Medicine Physician
  • Salem, UT
  • NPI 1225739857
  NPD
• Canyon View Medical Group LLC

  • Family Medicine Physician
  • Spanish Fork, UT
  • NPI 1538194477
  NPD
• Ihc Health Services Inc

  • Pulmonary Disease Physician
  • St George, UT
  • NPI 1477821304
  NPD
• Ihc Health Services, Inc.

  • Psychiatry Physician
  • St George, UT
  • NPI 1023843844
  NPD

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1972128973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 S STERLING WAY",
            "city": "VINEYARD",
            "state": "UT",
            "postal_code": "840595685",
            "telephone_number": "801-919-6466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 W CENTER ST",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846602060",
            "telephone_number": "801-798-7301",
            "fax_number": "801-798-8513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 S Sterling Way",
            "address_purpose": "LOCATION",
            "city": "Vineyard",
            "state": "UT",
            "postal_code": "840595685",
            "country_code": "US",
            "telephone_number": "801-919-6466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIERCE ROCHA",
        "first_name": "XAVIER",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-15",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "12476407-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad Peterson, D.O.
• Courtney Peterson, FNP-C
• Michael Warren Peterson, D.O.
• Warren Albert Peterson, D.O.
• Steel Grant Pia, LMT
• Emily Pittam
• Haley Jorgensen Pledger, PA-C
• Drew Ernest Polson, MD
• Jordan C Porcaro, DPT
• Porter Counseling Services, PLLC

• All providers in Spanish Fork, UT
• Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.

Verify at the official NPI Registry.