Active NPI
Ralph Jerome Rauch, MD
- Psychiatry Physician
- Lafayette, CA
National Provider Identifier
1073213732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G17286
- Practice address
- 3561 Oconner Dr
Lafayette, CA 94549-4932 - Phone
- (925) 283-3058
- NPI assigned
- Mar 9, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G17286 | CA | Primary |
Addresses
Primary practice location
3561 Oconner Dr
Lafayette, CA 94549-4932
Mailing address
3561 Oconner Dr
Lafayette, CA 94549-4932
Phone (925) 283-3058
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G17286 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678320000000",
"number": "1073213732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3561 OCONNER DR",
"city": "LAFAYETTE",
"state": "CA",
"postal_code": "945494932",
"telephone_number": "925-283-3058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3561 OCONNER DR",
"city": "LAFAYETTE",
"state": "CA",
"postal_code": "945494932",
"telephone_number": "925-283-3058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAUCH",
"first_name": "RALPH",
"middle_name": "JEROME",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-03-09",
"last_updated": "2023-03-09",
"certification_date": "2023-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G17286",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.