Marivic Lo Racho, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

10202 Issued in CA

Practice address

4027 Chessa LN
Clovis, CA 93619-5124

Phone

(559) 326-7365

Fax

(559) 326-7365

NPI assigned

Jun 9, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1997

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Santa Clara, CA
  • NPI 1073606299
  Medicare reassignment
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Richmond, CA
  • NPI 1235226531
  NPD
• Permanente Medical Group, Inc

  • Clinical Medical Laboratory
  • San Jose, CA
  • NPI 1497971584
  NPD

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433808000000",
    "number": "1174903744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4027 CHESSA LN",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936195124",
            "telephone_number": "559-326-7365",
            "fax_number": "559-326-7365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4027 CHESSA LN",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936195124",
            "telephone_number": "559-326-7365",
            "fax_number": "559-326-7365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACHO",
        "first_name": "MARIVIC",
        "middle_name": "LO",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-09",
        "last_updated": "2015-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "10202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Quijada-Maldonado
• Gabriella Diana Quijano
• Melanie Beth Quillen, RDA
• Keri Quinn
• Nicholie Kim Quintero
• Crystal Diana Louise Raco
• Jason Daniel Radtke, D.C.
• Ricky B Radtke, D.C.
• Mohammad H Rahman, MD
• Nadeem U Rahman, MD

• Occupational Therapist in Clovis, CA
• Providers in Clovis, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.