Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mary Patricia List, MD

Individual provider Dermatology Physician · NPI 1013440874

Dr. Mary Patricia List, MD is a Dermatology in Roseville, California. Qualified in 2019, 7 years ago. Practices with Sutter Valley Medical Foundation, a 2,464-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
7
Licensed in
OH
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2261 Douglas Blvd
Roseville, CA 95661-3831
Phone: (916) 797-4766
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2139 Auburn Ave, Cincinnati, OH 45219-2906 — (513) 585-0855
  • 7335 Yankee Rd Ste 202, Liberty Township, OH 45044-1253 — (513) 579-9191

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 35.148704 (OH)

Record details

NPI number1013440874
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 9, 2017
Last updated in NPPESAugust 22, 2025
Certification dateAugust 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Sutter Valley Medical Foundation — 2464 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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