Individual provider Active NPI

Monique Rachell, PA-C, OTA/L

  • Physician Assistant
  • Riverside, CA
National Provider Identifier
1174805998
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
67047 Issued in CA
Practice address
6848 Magnolia Ave Ste 220
Riverside, CA 92506-2858
Phone
(951) 981-2200
NPI assigned
Sep 16, 2011
Last updated
Oct 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 67047 CA Primary
Occupational Therapy Assistant 224Z00000X OTA1240 CA

Addresses

Primary practice location

6848 Magnolia Ave Ste 220
Riverside, CA 92506-2858

Mailing address

1991 Pine Crest Dr
Corona, CA 92882-3708
Phone (760) 212-1008

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251022002740 CA Practitioner - Physician Assistant 6002312857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Resurgent Head and Neck Surgeons IncGroup PAC ID 6103246434, 6 clinicians

Practice addresses (Care Compare)

6848 Magnolia Ave
Suite 220
Riverside, CA 92506-2858
Phone (951) 981-2200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
67047CAMDMental Health Counselor
OTA1240CAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Resurgent Head and Neck Surgeons, Inc. CurrentSince Oct 7, 2025 Accepting new patients
Preferred Healthcare Registry Past Accepting new patients
Preferred Healthcare Past Accepting new patients

Locations

6848 Magnolia Ave
Ste 220
Riverside, CA 92506
Phone (951) 683-1166

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1316131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1174805998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1991 PINE CREST DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928823708",
            "telephone_number": "760-212-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6848 MAGNOLIA AVE STE 220",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062858",
            "telephone_number": "951-981-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACHELL",
        "first_name": "MONIQUE",
        "credential": "PA-C, OTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-16",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "67047",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "OTA1240",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.