Active NPI
Angela Anita Rackley, MSW
- Specialist
- Chula Vista, CA
National Provider Identifier
1366617540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 178 Eckman CT
Chula Vista, CA 91911-5203 - Phone
- (619) 559-1604
- Fax
- (619) 240-3288
- NPI assigned
- Apr 28, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
178 Eckman CT
Chula Vista, CA 91911-5203
Mailing address
3211 Jefferson St
San Diego, CA 92110-4424
Phone (619) 683-3100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302480000000",
"number": "1366617540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3211 JEFFERSON ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921104424",
"telephone_number": "619-683-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "178 ECKMAN CT",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919115203",
"telephone_number": "619-559-1604",
"fax_number": "619-240-3288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RACKLEY",
"first_name": "ANGELA",
"middle_name": "ANITA",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-28",
"last_updated": "2011-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.