Rachel Renee Cliser, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95006030 Issued in CA

Practice address

188 E 17TH St Ste 101
Costa Mesa, CA 92627-3702

Phone

(949) 515-4548

NPI assigned

Jan 23, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Rachel Renee Gomez Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Salem D O Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Irvine, CA
  • NPI 1467732057
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581033600000",
    "number": "1073011193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 OLD NEWPORT BLVD",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634135",
            "telephone_number": "909-240-8970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 E 17TH ST STE 101",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273702",
            "telephone_number": "949-515-4548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLISER",
        "first_name": "RACHEL",
        "middle_name": "RENEE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-23",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95006030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "GOMEZ",
            "middle_name": "RENEE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephanie Clements
• Joey Lynn Clevenger
• Erika Angeline Clever, LMFT
• Demaris Climax
• Clint Walker Dental Corporation
• Cloudberry Nutrition LLC
• Club DME
• Coalition Physical Therapy
• Coast Medical Equipment, Inc
• Coast New Horizon Inc.

• Nurse Practitioner in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; 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.

Verify at the official NPI Registry.