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PLACER PRIVATE PHYSICIANS INC
NPI 1164830360
Family Medicine in Rocklin, CA

Active since July 31, 2014CLIA 05D2087007 · Microscopy
6960 DESTINY DR, SUITE 100, ROCKLIN, CA 95677(916) 624-1777(916) 624-1770 Get Directions Write a Review

NPPES record last updated: July 31, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1164830360
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePLACER PRIVATE PHYSICIANS INC
Location Address6960 DESTINY DR, SUITE 100Rocklin, CA 95677-2993
Mailing Address6960 Destiny Dr, Suite 100Rocklin, CA 95677-2995 · (916) 624-1777 · Fax (916) 624-1770
Phone(916) 624-1777
Fax(916) 624-1770
Organization SubpartNo
Authorized OfficialBron Christopher HedmanOwner · (916) 624-1777
Enumeration DateJuly 31, 2014
✔ NPI 1164830360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6960 DESTINY DR, Rocklin, CA 95677
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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, CA
Active · expires Nov 13, 2026
CLIA Number05D2087007
Laboratory TypePhysician Office
Certificate Effective DateNovember 14, 2024
Certificate Expiration DateNovember 13, 2026
Laboratory DirectorBron C. Hedman
Laboratory Phone(916) 624-1777
Laboratory LocationPlacer Private Physicians6960 Destiny Dr Ste 100, Rocklin, CA 95677
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ANDREA LEE O'DONNELL M.S. CCC-SLP
Speech-Language Pathologist
6960 DESTINY DR, SUITE 117
ROCKLIN, CA 95677
Placer County (916) 415-0119
ERICA KOBLISKA MA
Speech-Language Pathologist
6960 DESTINY DR, STE 112
ROCKLIN, CA 95677
Placer County (916) 415-0119
DR. ELIZABETH MARIE SUNSERI PT, DPT
Physical Therapist
6960 DESTINY DR, SUITE 112
ROCKLIN, CA 95677
Placer County (916) 415-0119
SAMANTHA MARIE BALDWIN
Behavior Technician
6960 DESTINY DR
ROCKLIN, CA 95677
Placer County (916) 824-3220
JERZY JANKOWSKI PT
Physical Therapist
6960 DESTINY DR, SUITE 101
ROCKLIN, CA 95677
Placer County (916) 630-8916
JULIE WOODWARD BCBA
Behavior Analyst
6960 DESTINY DR, SUITE 112
ROCKLIN, CA 95677
Placer County (916) 415-0119
KASSANDRA ELIZABETH IRWIN
Behavior Technician
6960 DESTINY DR
ROCKLIN, CA 95677
Placer County (916) 824-3220
BABY STEPS THERAPY
Occupational Therapist
6960 DESTINY DR, SUITE 112
ROCKLIN, CA 95677
Placer County (916) 415-0119

Frequently 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.

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.