Gary Rachelefsky, MD

Primary specialty

Pediatric Allergy/Immunology PhysicianTaxonomy code 2080P0201X

License

G22339 Issued in CA

Practice address

200 UCLA Medical Plaza
Suite 140-17
Los Angeles, CA 90095-8344

Phone

(310) 794-6884

Fax

(310) 261-5161

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• UCLA Pediatrics

  • Clinical & Laboratory Immunology (Allergy & Immunology) Physician
  • Los Angeles, CA
  • NPI 1255528055
  NPD (past) Authorized official

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1104936756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10833 LE CONTE AVE",
            "address_2": "32-263 CHS",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900953675",
            "telephone_number": "310-206-3952",
            "fax_number": "310-206-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 UCLA MEDICAL PLAZA",
            "address_2": "SUITE 140-17",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900958344",
            "telephone_number": "310-794-6884",
            "fax_number": "310-261-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACHELEFSKY",
        "first_name": "GARY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "CA",
            "license": "G22339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G223390",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shana Elizabeth Race, NP
• Rachael Cayce, M.D. Inc., a Professional Corporation
• Brianna Rachall, BA, NBC-HWC
• Rachel M Laurant (Platinum Medical Supply)
• Rachel Ryan Licensed Clinical Social Worker, Inc (Therapy With Rachel)
• Kristin J Rachinski
• Katherane Rackleff, ACSW
• Rad Alliance, Inc.
• Rad Care Services Inc (Alvarado Care Home)
• Shahla Y Rad, M.D.

• Pediatric Allergy/Immunology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Pediatric Allergy/Immunology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; 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.