Individual provider Active NPI

Rachel Pamela Ross, MD

  • Psychiatry Physician
  • Oceanside, CA
National Provider Identifier
1316248420
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A110756 Issued in CA
Practice address
1701 Mission Ave
Oceanside, CA 92058-7102
Phone
(760) 967-4475
NPI assigned
Nov 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A110756 CA Primary

Addresses

Primary practice location

1701 Mission Ave
Oceanside, CA 92058-7102

Mailing address

2171 Del Mar Heights Rd
Del Mar, CA 92014-3019
Phone (858) 356-9941

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110517000716 CA Practitioner - Psychiatry 4082890546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
George Washington University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mental Health Systems IncGroup PAC ID 8628019320, 37 clinicians

Practice addresses (Care Compare)

1701 Mission Ave
Suite 230
Oceanside, CA 92058-7110
Phone (760) 712-3535

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A110756CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Systems, Inc. CurrentSince Jun 10, 2021 Accepting new patients
The Administrators of the Tulane Educational Fund Past Accepting new patients
Administrators of the Tulane Educational Fund Past Accepting new patients
Mental Health Systems, Inc. PastSince Jun 10, 2021 Accepting new patients

Locations

4283 El Cajon Blvd
Ste 115
San Diego, CA 92105
Phone (619) 521-1743

9465 Farnham St
San Diego, CA 92123
Phone (858) 576-4311

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.

NPI Registry JSON

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1316248420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2171 DEL MAR HEIGHTS RD",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920143019",
            "telephone_number": "858-356-9941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 MISSION AVE",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920587102",
            "telephone_number": "760-967-4475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "RACHEL",
        "middle_name": "PAMELA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-04",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A110756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

Verify at the official NPI Registry.