Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stephanie McCullough, PA-C

Individual provider Physician Assistant · NPI 1497500995

Stephanie McCullough, PA-C is a Physician Assistant in Rocklin, California. Qualified in 2023, 3 years ago. Practices with Rocklin Family Practice and Sports Medicine, a 15-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3104 Sunset Blvd Ste 2B
Rocklin, CA 95677-3093
Phone: (916) 624-0300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA64037 (CA)

Record details

NPI number1497500995
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 19, 2024
Last updated in NPPESApril 19, 2024
Certification dateApril 19, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Rocklin Family Practice And Sports Medicine — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Rocklin