Active NPI
Rachel Caspar, M.D
- Addiction Medicine (Family Medicine) Physician
- Sacramento, CA
National Provider Identifier
1053774273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- License
- A168974
- Practice address
- 1500 21St St
Sacramento, CA 95811-5216 - Phone
- (916) 443-3299
- NPI assigned
- Apr 4, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | A168974 | CA | Primary |
| Family Medicine Physician | 207Q00000X | 10483123-1205 | UT |
Addresses
Primary practice location
1500 21St St
Sacramento, CA 95811-5216
Mailing address
1500 21St St
Sacramento, CA 95811-5216
Phone (916) 443-3299
Other names 1
- Rachel Nicholson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A168974 | CA | MD | Addiction Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Utah Community Physicians Group | Multi-Specialty | Current | Accepting new patients |
| University of Utah Community Physicians Group | Multi-Specialty | Current | Accepting new patients |
| University of Utah Community Physicians Group | Multi-Specialty | Current | Accepting new patients |
Locations
1525 W 2100 S
Salt Lake City, UT 84119
Phone (801) 213-8841
Interoperability endpoints
- rcaspar315728@direct.ochin.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Salt Lake City, UT
- NPI 1467241554
-
- Family Medicine Physician
- Park City, UT
- NPI 1053715763
Multi-Specialty
-
- General Practice Physician
- Salt Lake City, UT
- NPI 1124422126
Multi-Specialty
-
- Family Medicine Physician
- Centerville, UT
- NPI 1699179267
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615507200000",
"number": "1053774273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 21ST ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958115216",
"telephone_number": "916-443-3299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 21ST ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958115216",
"telephone_number": "916-443-3299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASPAR",
"first_name": "RACHEL",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-04",
"last_updated": "2021-03-12",
"certification_date": "2021-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Addiction Medicine",
"state": "CA",
"license": "A168974",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "10483123-1205",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "NICHOLSON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.