Individual provider Active NPI

David R Racker, M.D.

  • Diagnostic Radiology Physician
  • Saint Helena, CA
National Provider Identifier
1083679781
Registry record updated Apr 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G50474 Issued in CA
Practice address
10 Woodland Rd
Saint Helena, CA 94574-9554
Phone
(707) 963-6430
Fax
(707) 256-3508
NPI assigned
Apr 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X G50474 CA Primary

Addresses

Primary practice location

10 Woodland Rd
Saint Helena, CA 94574-9554

Mailing address

PO Box 3222
Napa, CA 94558-0293
Phone (707) 261-7821

Other identifiers 1

IdentifierTypeStateIssuer
00G504740MedicaidCA

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080925000492 CA Practitioner - Diagnostic Radiology 2466460902 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Loma Linda University School of Medicine, 1982
Medicare assignment
May accept Medicare assignment
Group practices
Willits Hospital IncGroup PAC ID 7416940697, 67 clinicians
Ukiah Adventist HospitalGroup PAC ID 6406816123, 136 clinicians
Radiology Medical Group of WMMCGroup PAC ID 0244247864, 29 clinicians
Adventist Health Mendocino CoastGroup PAC ID 3678990769, 57 clinicians

Practice addresses (Care Compare)

1 Marcela Dr
Willits, CA 95490-5769
Phone (707) 459-6801

111 Raley Blvd
Suite 160
Chico, CA 95928-8351
Phone (530) 343-3868

15630 18TH Ave
Clearlake, CA 95422-9336
Phone (707) 994-6486

275 Hospital Dr
Ukiah, CA 95482-4531
Phone (707) 462-3111

3 Marcela Dr
Suite D
Willits, CA 95490-5769
Phone (707) 459-4220

5176 Hill Rd E
Lakeport, CA 95453-6300
Phone (707) 262-5000

700 River Dr
Fort Bragg, CA 95437-5403
Phone (707) 961-1234

Hospital & facility affiliations

  • Sutter Lakeside Hospital Hospital, Lakeport, CA, CCN 051329
  • Adventist Health Ukiah Valley Hospital, Ukiah, CA, CCN 050301
  • Adventist Health Clearlake Hospital, Clearlake, CA, CCN 051317
  • Adventist Health Mendocino Coast Hospital, Fort Bragg, CA, CCN 051325
  • Adventist Health Howard Memorial Hospital, Willits, CA, CCN 051310

Merit-based Incentive Payment System (MIPS)

Final score
90.9 of 100Reported as group
Quality
91.91
Improvement activities
40
Cost
79.27

Merit-based Incentive Payment System (MIPS)

Final score
90.74 of 100Reported as group
Quality
94
Promoting interoperability
92
Improvement activities
40
Cost
65.12

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
88.16 of 100Reported as group
Quality
82.56
Promoting interoperability
93
Improvement activities
40
Cost
69.49

Merit-based Incentive Payment System (MIPS)

Final score
89.41 of 100Reported as group
Quality
86.32
Promoting interoperability
95
Improvement activities
40
Cost
66.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G50474CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Clearlake Hospital Inc. CurrentSince Feb 10, 2019 Accepting new patients
Willits Hospital Inc. CurrentSince Oct 3, 2018 Accepting new patients
Radiology Medical Group of WMMC Diagnostic Radiology CurrentSince Feb 1, 2022 Accepting new patients
Adventist Health Physicians Network CurrentSince Jan 1, 2021 Accepting new patients
Adventist Health Mendocino Coast CurrentSince Jan 1, 2023 Accepting new patients
Ukiah Adventist Hospital Diagnostic Radiology CurrentSince Jul 16, 2019 Accepting new patients
Adventist Health Physicians Network CurrentSince Jan 1, 2021 Accepting new patients
Adventist Health Physicians Network Current Accepting new patients
California Advanced Imaging Medical Associates Inc Diagnostic Radiology CurrentSince Mar 1, 2016 Accepting new patients
Ukiah Adventist Hospital CurrentSince Oct 3, 2018 Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Adventist Health Clearlake Hospital, Inc Past Accepting new patients
Solano Imaging Medical Associates Diagnostic Radiology Past Accepting new patients
Northern California Imaging Associates Medical Group Inc Diagnostic Radiology Past Accepting new patients

Locations

111 Raley Blvd
Ste 140
Chico, CA 95928
Phone (530) 342-5776

111 Raley Blvd
Ste 160
Chico, CA 95928
Phone (530) 343-3868

15630 18th Ave
Clearlake, CA 95422
Phone (707) 995-5820

700 River Dr
Fort Bragg, CA 95437
Phone (707) 961-1234

1260 S Eliseo Dr
Ste 101
Greenbrae, CA 94904
Phone (415) 461-9033

5176 Hill Rd E
Lakeport, CA 95453
Phone (707) 262-5000

1720 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 260-5781

531 W College St
Los Angeles, CA 90012
Phone (213) 268-5000

10 Woodland Rd
Saint Helena, CA 94574
Phone (707) 963-2002

2333 Buchanan St
San Francisco, CA 94115
Phone (415) 563-4321

100 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 696-4140

2975 Sycamore Dr
Simi Valley, CA 93065
Phone (805) 522-2500

347 Andrieux St
Sonoma, CA 95476
Phone (707) 935-5000

275 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-7900

1 Marcela Dr
Willits, CA 95490
Phone (707) 456-3001

5700 Southwyck Blvd
Toledo, OH 43614

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/29a5ccea-f4ab-4447-a191-56b20695970f/
  • Direct secure messaging: dracker194598@hisp.ehr.sutterhealth.org

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333929600000",
    "number": "1083679781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3222",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945580293",
            "telephone_number": "707-261-7821",
            "fax_number": "707-256-3508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WOODLAND RD",
            "city": "SAINT HELENA",
            "state": "CA",
            "postal_code": "945749554",
            "telephone_number": "707-963-6430",
            "fax_number": "707-256-3508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACKER",
        "first_name": "DAVID",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2012-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G50474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G504740",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Helena, CA

Sources for this page

Verify at the official NPI Registry.