Individual provider Active NPI

Rachelle Speckler

  • Medical Physician Assistant
  • Torrance, CA
National Provider Identifier
1265207971
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
66062 Issued in CA
Practice address
20911 Earl St Ste 140
Torrance, CA 90503-4353
Phone
(310) 542-0199
Fax
(310) 542-4652
NPI assigned
Nov 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X
Medical Physician Assistant 363AM0700X 66062 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

20911 Earl St Ste 140
Torrance, CA 90503-4353

Mailing address

21250 Hawthorne Blvd Ste 600
Torrance, CA 90503-5519

Other practice location 1

1260 Elm St
Manchester, NH 03101-1305
Phone (603) 314-1701

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
I20250422003800 CA Practitioner - Physician Assistant 6406371483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Genesis Healthcare Partners PCGroup PAC ID 2163606807, 232 clinicians

Practice addresses (Care Compare)

20911 Earl St
Suite 140
Torrance, CA 90503-4353
Phone (310) 542-0199

23600 Telo Ave
Suite 220
Torrance, CA 90505-4039
Phone (310) 534-8400

Hospital & facility affiliations

  • Torrance Memorial Medical Center Hospital, Torrance, CA, CCN 050351

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
66062CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Skyline Urology Current Accepting new patients
Urology Institute of the South Bay Current Accepting new patients

Locations

23600 Telo Ave
Ste 220
Torrance, CA 90505
Phone (310) 534-8400

20911 Earl St
Ste 140
Torrance, CA 90503
Phone (310) 542-0199

Interoperability endpoints

  • Direct secure messaging: rachelle.speckler.1@3663.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1700611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1265207971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21250 HAWTHORNE BLVD STE 600",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20911 EARL ST STE 140",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034353",
            "telephone_number": "310-542-0199",
            "fax_number": "310-542-4652"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1260 Elm St",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031011305",
            "country_code": "US",
            "telephone_number": "603-314-1701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPECKLER",
        "first_name": "RACHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-22",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "66062",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.