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

Mary Annelise Rasmussen

Individual provider Pediatrics Physician · NPI 1073074290

Mary Annelise Rasmussen is a Pediatric Medicine in Sacramento, California. Qualified in 2019, 7 years ago. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

4860 Y St Ste 3850
Sacramento, CA 95817-2307
Phone: (916) 734-5293
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Rehabilitation Medicine Physician (primary) Taxonomy 2081P0010X · Licence A180647 (CA)
Pediatrics Physician Taxonomy 208000000X · Licence A180647 (CA)

Record details

NPI number1073074290
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 29, 2019
Last updated in NPPESAugust 25, 2025
Certification dateAugust 25, 2025

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Sacramento