Provider Demographics
NPI:1164612990
Name:RHOADES, CRAIG A (PA)
Entity Type:Individual
Prefix:MR
First Name:CRAIG
Middle Name:A
Last Name:RHOADES
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1531 PLUMAS CT
Mailing Address - Street 2:SUITE B
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991-2966
Mailing Address - Country:US
Mailing Address - Phone:530-751-4900
Mailing Address - Fax:530-751-4901
Practice Address - Street 1:1908 N BEALE RD STE E
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:CA
Practice Address - Zip Code:95901-6937
Practice Address - Country:US
Practice Address - Phone:530-743-6888
Practice Address - Fax:530-743-9823
Is Sole Proprietor?:No
Enumeration Date:2007-07-27
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA363AM0700X363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA19345OtherPA-C
CA19345OtherPA-C
CA0PA193451Medicare Oscar/Certification
CAZZZ22651ZMedicare PIN