ROCKLIN FAMILY PRACTICE AND SPORTS MEDICINE
NPI 1790798908
Family Medicine in Rocklin, CA

Q: What is Rocklin Family Practice And Sports Medicine's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since August 15, 2006CLIA 05D0860872 · Waiver

3104 SUNSET BLVD, #2B, ROCKLIN, CA 95677(916) 624-0300(916) 624-0631 Get Directions Write a Review

NPPES record last updated: April 4, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Rocklin Family Practice And Sports Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROCKLIN FAMILY PRACTICE AND SPORTS MEDICINE (NPI 1790798908) is a healthcare organization registered as a family medicine in Rocklin, California and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through July 17, 2027 and lists Roy Mc Harris, President, as its authorized official.

NPPES Registry Identity

NPI1790798908

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameROCKLIN FAMILY PRACTICE AND SPORTS MEDICINE

Location Address3104 SUNSET BLVD, #2BRocklin, CA 95677

Mailing Address3104 Sunset Blvd, #2bRocklin, CA 95677 · (916) 624-0300 · Fax (916) 624-0631

Phone(916) 624-0300

Fax(916) 624-0631

Organization SubpartNo

Authorized OfficialRoy Mc HarrisPresident · (916) 624-0300

Enumeration DateAugust 15, 2006

Last NPPES UpdateApril 4, 2017

✔ NPI 1790798908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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.

Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X

Also ListedInternal Medicine · Sports MedicineTaxonomy 207RS0010X

Also ListedPediatricsTaxonomy 208000000X

3104 SUNSET BLVD, Rocklin, CA 95677

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Other Identifiers 3

Medicare ID-Type UnspecifiedZZZ19970ZCA

Medicare NSC0466260001CA

Medicaid00G639720CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 of Waiver 05D0860872

Rocklin Family Practice And Sports Medicine · Rocklin, CA

Active · expires Jul 17, 2027

CLIA Number05D0860872

Laboratory TypePhysician Office

Certificate Effective DateJuly 18, 2025

Certificate Expiration DateJuly 17, 2027

Laboratory DirectorRoy M. Harris MD

Laboratory Phone(916) 624-0300

Laboratory LocationRocklin Family Practice And Sports Medicine3104 Sunset Boulevard Suite 2B, Rocklin, CA 95677

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

MR. BRUCE JAMES ROE PAC

Physician Assistant

3104 SUNSET BLVD
ROCKLIN, CA 95677

Placer County (916) 624-0300

FRANCK DENTAL CORPORATION

Durable Medical Equipment & Medical Supplies (Customized Equipment)

3104 SUNSET BLVD, STE 1A
ROCKLIN, CA 95677

Placer County (916) 250-3448

ROY MC HARRIS MD

Family Medicine

3104 SUNSET BLVD, SUITE 2B
ROCKLIN, CA 95677

Placer County (916) 624-0300

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 Rocklin Family Practice And Sports Medicine's NPI number?

The NPI number for Rocklin Family Practice And Sports Medicine is 1790798908. It was assigned to this organization in the NPPES registry on August 15, 2006.

Where is Rocklin Family Practice And Sports Medicine located?

Rocklin Family Practice And Sports Medicine is located at 3104 Sunset Blvd #2b, Rocklin, CA 95677. The listed phone number is (916) 624-0300.

What is Rocklin Family Practice And Sports Medicine's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Rocklin Family Practice And Sports Medicine hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0860872) is associated with this NPI, valid through July 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Rocklin Family Practice And Sports Medicine was last updated on April 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.