ROCKLIN FAMILY PRACTICE AND SPORTS MEDICINE
NPI 1790798908
Family Medicine in Rocklin, CA
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
Specialties & Licenses 4
Other Identifiers 3
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)
Rocklin Family Practice And Sports Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Rocklin Family Practice And Sports Medicine, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (10)
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 of Waiver 05D0860872
Rocklin Family Practice And Sports Medicine · 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 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.
Is Rocklin Family Practice And Sports Medicine enrolled in Medicare?
Yes. Rocklin Family Practice And Sports Medicine is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Rocklin Family Practice And Sports Medicine?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 3 Medicare specialties reassign their Medicare billing to Rocklin Family Practice And Sports Medicine. 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 Nurse Practitioner (5), Family Practice (4) and Internal Medicine (1). Of these, 5 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Rocklin Family Practice And Sports Medicine · NPI 1790798908
Family Medicine organization in Rocklin, California. Organization record, active in the CMS NPPES registry since August 15, 2006.
## Identity
- **NPI:** 1790798908 (Entity type: Organization)
- **Enumerated:** August 15, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Roy Harris, PRESIDENT
## Practice location
- **Address:** 3104 SUNSET BLVD, #2B, Rocklin, CA 95677
- **Phone:** (916) 624-0300 · **Fax:** (916) 624-0631
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Family Practice (4), Internal Medicine (1); 5 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 4, 2017
- **Other identifiers:** Medicare ID-Type Unspecified ZZZ19970Z (CA); Medicare NSC 0466260001 (CA); Medicaid 00G639720 (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1790798908) · Data from the CMS NPPES public registry.