Individual provider Active NPI

James Michael Rachford, OD

  • Optometrist
  • Yucca Valley, CA
National Provider Identifier
1073593133
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7037T Issued in CA
Practice address
57463 29 Palms Hwy
Suite #201
Yucca Valley, CA 92284-2925
Phone
(760) 365-2020
Fax
(760) 228-0864
NPI assigned
Jan 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7037T CA Primary

Addresses

Primary practice location

57463 29 Palms Hwy
Suite #201
Yucca Valley, CA 92284-2925

Mailing address

57463 29 Palms Hwy
Suite #201
Yucca Valley, CA 92284-2925
Phone (760) 365-2020

Other identifiers 1

IdentifierTypeStateIssuer
1992714OtherPIN

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

State licenses

LicenseStateTypeSpecialty
7037TCAMDOptometrist
7037CAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Dermatology Institute PastSince Apr 4, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206576000000",
    "number": "1073593133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57463 29 PALMS HWY",
            "address_2": "SUITE #201",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922842925",
            "telephone_number": "760-365-2020",
            "fax_number": "760-228-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57463 29 PALMS HWY",
            "address_2": "SUITE #201",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922842925",
            "telephone_number": "760-365-2020",
            "fax_number": "760-228-0864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACHFORD",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2008-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7037T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN",
            "identifier": "1992714",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yucca Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.