NPIMap

Individual provider Active NPI

Rachel Mayorga, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Healdsburg, CA
National Provider Identifier
1124078365
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
36106287 Issued in IL
Practice address
421 March Ave Ste D
Healdsburg, CA 95448-3367
Phone
(707) 385-0222
Fax
(707) 629-4849
NPI assigned
May 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 36106287 IL Primary

Addresses

Primary practice location

421 March Ave Ste D
Healdsburg, CA 95448-3367

Mailing address

421 March Ave Ste D
Healdsburg, CA 95448-3367
Phone (707) 385-0222

Other identifiers 4

IdentifierTypeStateIssuer
208341OtherILMEDICARE GROUP NUMBER
036106287MedicaidIL
208342OtherILMEDICARE GROUP NUMBER
P01804275OtherCARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110526000625 CA Practitioner - Internal MedicinePractitioner - Geriatric Medicine 4587639141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
University of Utah School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

421 March Ave
Suite D
Healdsburg, CA 95448-3367
Phone (707) 385-0222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.9 of 100Reported as group
Quality
81.89
Promoting interoperability
99
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
80.98 of 100Reported as group
Quality
73.31
Promoting interoperability
92
Improvement activities
40
Cost
62

Merit-based Incentive Payment System (MIPS)

Final score
70.67 of 100Reported as individual
Quality
55.08
Improvement activities
40
Cost
62.14

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36106287ILMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Rachel Mayorga MD PC CurrentSince Feb 1, 2015 Accepting new patients
North Sonoma County Health Care District Past Accepting new patients
Downers Grove Geriatrics LLC PastSince Sep 9, 2009 Accepting new patients
Gottlieb Community Health Services Corporation Past Accepting new patients
VHS of Illinois Inc Past Accepting new patients

Locations

421 March Ave
Ste D
Healdsburg, CA 95448
Phone (707) 385-0222

810 Healdsburg Ave
Healdsburg, CA 95448
Phone (707) 385-0222

Interoperability endpoints

  • Direct secure messaging: rmayorga@yourcarecommunity.org
  • Direct secure messaging: rachel.mayorga@491742911463428.direct.elationemr.com

Organizations & group practices 5

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.

Hospital & facility affiliations 8

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1124078365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 MARCH AVE STE D",
            "city": "HEALDSBURG",
            "state": "CA",
            "postal_code": "954483367",
            "telephone_number": "707-385-0222",
            "fax_number": "707-629-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 MARCH AVE STE D",
            "city": "HEALDSBURG",
            "state": "CA",
            "postal_code": "954483367",
            "telephone_number": "707-385-0222",
            "fax_number": "707-629-4849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYORGA",
        "first_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "IL",
            "license": "36106287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "208341",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036106287",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "208342",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01804275",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Healdsburg, CA

Sources for this page

Verify at the official NPI Registry.