Individual provider Active NPI

Rachel Elis

  • Social Worker
  • Salinas, CA
National Provider Identifier
1215067038
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
13939 Issued in CA
Practice address
1000 S Main St
Suite 210-B
Salinas, CA 93901-2352
Phone
(831) 796-1521
NPI assigned
Mar 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 13939 CA Primary

Addresses

Primary practice location

1000 S Main St
Suite 210-B
Salinas, CA 93901-2352

Mailing address

1000 S Main St
Suite 210-B
Salinas, CA 93901-2352

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231228003719 CA Practitioner - Clinical Social Worker 1153771456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Pittsburgh School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8545 Carmel Valley Rd
Carmel, CA 93923-9556
Phone (831) 626-4869

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13939CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northern California Congregational Retirement Homes, Inc CurrentSince Nov 13, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215067038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S MAIN ST",
            "address_2": "SUITE 210-B",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939012352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S MAIN ST",
            "address_2": "SUITE 210-B",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939012352",
            "telephone_number": "831-796-1521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIS",
        "first_name": "RACHEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "13939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.