PLACER PRIVATE PHYSICIANS INC
NPI 1164830360
Family Medicine in Rocklin, CA
About Placer Private Physicians Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PLACER PRIVATE PHYSICIANS INC (NPI 1164830360) is a healthcare organization registered as a family medicine in Rocklin, California and active in the NPI registry since July 2014. The organization holds a CLIA Microscopy certificate valid through November 13, 2026 and lists Bron Christopher Hedman, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Placer Private Physicians Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Placer Private Physicians Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D2087007
Placer Private Physicians · Rocklin, CAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Placer Private Physicians Inc's NPI number?
The NPI number for Placer Private Physicians Inc is 1164830360. It was assigned to this organization in the NPPES registry on July 31, 2014.
Where is Placer Private Physicians Inc located?
Placer Private Physicians Inc is located at 6960 Destiny Dr Suite 100, Rocklin, CA 95677. The listed phone number is (916) 624-1777.
What is Placer Private Physicians Inc's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Placer Private Physicians Inc enrolled in Medicare?
Yes. Placer Private Physicians Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Placer Private Physicians Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Placer Private Physicians Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (3) and Internal Medicine (1). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Placer Private Physicians Inc hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D2087007) is associated with this NPI, valid through November 13, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Placer Private Physicians Inc was last updated on July 31, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Placer Private Physicians Inc · NPI 1164830360
Family Medicine organization in Rocklin, California. Organization record, active in the CMS NPPES registry since July 31, 2014.
## Identity
- **NPI:** 1164830360 (Entity type: Organization)
- **Enumerated:** July 31, 2014
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Bron Hedman, OWNER
## Practice location
- **Address:** 6960 DESTINY DR, SUITE 100, Rocklin, CA 95677-2993
- **Phone:** (916) 624-1777 · **Fax:** (916) 624-1770
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (3), Internal Medicine (1); 1 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 31, 2014
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1164830360) · Data from the CMS NPPES public registry.