Individual provider Active NPI

Rachael Suzanne Tennant, MD

  • Family Medicine Physician
  • Yucaipa, CA
National Provider Identifier
1427437813
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A147455 Issued in CA
Practice address
33758 Yucaipa Blvd
Yucaipa, CA 92399-2243
Phone
(909) 795-9747
NPI assigned
May 19, 2015
Last updated
Aug 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A147455 CA Primary

Addresses

Primary practice location

33758 Yucaipa Blvd
Yucaipa, CA 92399-2243

Mailing address

1177 Idaho St Ste 102
Redlands, CA 92374-4586

Other practice location 1

34675 Yucaipa Blvd Ste 102-105
Yucaipa, CA 92399-4155
Phone (909) 850-4211

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
I20180801002129 CA Practitioner - Family Practice 3375891799 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Beaver Medical Group P CGroup PAC ID 0547164295, 251 clinicians
Community Alliance Medical Group IncGroup PAC ID 0446699896, 13 clinicians

Practice addresses (Care Compare)

245 Terracina Blvd
Suite 102
Redlands, CA 92373-4865
Phone (909) 792-9737

34675 Yucaipa Blvd
Yucaipa, CA 92399-4155

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A147455CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beaver Medical Group P C CurrentSince Jun 13, 2018 Accepting new patients
Beaver Medical Group P C Family Medicine CurrentSince Jun 13, 2018 Accepting new patients
Healthcare Partners Affiliates Medical Group Family Medicine Current Accepting new patients
Community Alliance Medical Group Inc Family Medicine CurrentSince Nov 1, 2025 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jan 1, 2024 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jan 1, 2024 Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

835 Highland Springs Ave
Ste 300
Beaumont, CA 92223
Phone (909) 233-7823

845 Highland Springs Ave
#300
Beaumont, CA 92223

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

1177 Idaho St
Ste 102
Redlands, CA 92374

1615 Orange Tree Ln
Redlands, CA 92374
Phone (909) 335-4102

1901 W Lugonia Ave
Ste 340
Redlands, CA 92374

2 W Fern Ave
Redlands, CA 92373
Phone (909) 786-0725

2 W Fern Ave
#1112
Redlands, CA 92373

245 Terracina Blvd
Ste 102
Redlands, CA 92373
Phone (909) 406-2671

1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611

33758 Yucaipa Blvd
Yucaipa, CA 92399
Phone (909) 795-9747

34675 Yucaipa Blvd
#102105
Yucaipa, CA 92399

34675 Yucaipa Blvd
Ste 102
Yucaipa, CA 92399
Phone (909) 790-4795

34675 Yucaipa Blvd
Ste 102104
Yucaipa, CA 92399

34675 Yucaipa Blvd
Ste 102105
Yucaipa, CA 92399

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BJCEDD

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1431993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1427437813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1177 IDAHO ST STE 102",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33758 YUCAIPA BLVD",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923992243",
            "telephone_number": "909-795-9747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34675 Yucaipa Blvd Ste 102-105",
            "address_purpose": "LOCATION",
            "city": "Yucaipa",
            "state": "CA",
            "postal_code": "923994155",
            "country_code": "US",
            "telephone_number": "909-850-4211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TENNANT",
        "first_name": "RACHAEL",
        "middle_name": "SUZANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-19",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A147455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yucaipa, CA

Sources for this page

Verify at the official NPI Registry.