Active NPI
Rachel M. Villalon, MD
- Obstetrics & Gynecology Physician
- Fairfield, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- A127041
- Practice address
- 1860 Pennsylvania Ave
Suite 300
Fairfield, CA 94533-3590 - Phone
- (707) 646-4100
- Fax
- (707) 646-4101
- NPI assigned
- Jun 30, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 256434 | MA | |
| Obstetrics & Gynecology Physician | 207V00000X | A127041 | CA | Primary |
Addresses
Primary practice location
1860 Pennsylvania Ave
Suite 300
Fairfield, CA 94533-3590
Mailing address
1860 Pennsylvania Ave
Suite 300
Fairfield, CA 94533-3590
Phone (707) 646-4100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083842843 | Medicaid | MA |
Other names 1
- Dr. Rachel Marie Purcell
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1860 Pennsylvania Ave
Suite 230
Fairfield, CA 94533-3550
Phone (707) 646-4000
421 Nut Tree Rd
Vacaville, CA 95687-3508
Phone (707) 646-5500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 127041 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| A127041 | CA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northbay Health Medical Foundation | Current | Accepting new patients | |
| Northbay Physicians Surgery Center LLC | Past | Accepting new patients |
Locations
4520 Business Center Dr
Ste 200
Fairfield, CA 94534
Phone (707) 646-3500
1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600
1010 Nut Tree Rd
Ste 100B
Vacaville, CA 95687
Phone (707) 646-7999
421 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 455-3000
1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000
101 Main St
Winters, CA 95694
Phone (530) 795-4123
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/UMZ-Uxn6V9x08sH5gCnG-5yPg9ZX7et6/
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.
-
dba NorthBay Health Medical Network
- Internal Medicine Physician
- Fairfield, CA
- NPI 1760283527
-
dba dba NorthBay Medical Center
- General Acute Care Hospital
- Fairfield, CA
- NPI 1821147786
-
dba The Surgery Center
- Ambulatory Surgical Clinic/Center
- Vacaville, CA
- NPI 1003015843
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba dba NorthBay Medical Center
- General Acute Care Hospital
- Fairfield, CA
- NPI 1821147786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682640000000",
"number": "1083842843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1860 PENNSYLVANIA AVE",
"address_2": "SUITE 300",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945333590",
"telephone_number": "707-646-4100",
"fax_number": "707-646-4101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1860 PENNSYLVANIA AVE",
"address_2": "SUITE 300",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945333590",
"telephone_number": "707-646-4100",
"fax_number": "707-646-4101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLALON",
"first_name": "RACHEL",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-30",
"last_updated": "2023-04-28",
"certification_date": "2023-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MA",
"license": "256434",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "A127041",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1083842843",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "PURCELL",
"middle_name": "MARIE",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fairfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.