Active NPI
Rachel Elaine Dern, M.D.
- Obstetrics & Gynecology Physician
- Davis, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- C194597
- Practice address
- 2000 Sutter PL
Davis, CA 95616-6201 - Phone
- (916) 262-9414
- Fax
- (916) 262-9420
- NPI assigned
- Aug 24, 2011
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 13918170-1205 | UT | |
| Obstetrics & Gynecology Physician | 207V00000X | 50157 | NV | |
| Obstetrics & Gynecology Physician | 207V00000X | MT199509 | PA | |
| Obstetrics & Gynecology Physician | 207V00000X | 50157 | AZ | |
| Obstetrics & Gynecology Physician | 207V00000X | C194597 | CA | Primary |
Addresses
Primary practice location
2000 Sutter PL
Davis, CA 95616-6201
Mailing address
PO Box 255228
Sacramento, CA 95865-5228
Other practice location 1
2800 E Cottonwood Pkwy Ste 400
Cottonwood Heights, UT 84121-7296
Phone (385) 478-4518
Other practice location 2
926 E McDowell Rd
Suite 134
Phoenix, AZ 85006-2503
Phone (602) 288-0779
Other practice location 3
2011 Pinto Ln Ste 200
Las Vegas, NV 89106-4007
Phone (702) 382-3200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, UT, NV, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160422001417 | AZ | Practitioner - Obstetrics/Gynecology | 2365741535 | Reassigns benefits to 3 organizations |
| I20240520003054 | UT | Practitioner - Obstetrics/Gynecology | 2365741535 | Reassigns benefits to 1 organization |
| I20240603004222 | NV | Practitioner - Obstetrics/Gynecology | 2365741535 | Reassigns benefits to 2 organizations |
| I20241106002530 | CA | Practitioner - Obstetrics/Gynecology | 2365741535 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2010
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Iriye Medical Group PLLC
Practice addresses (Care Compare)
2011 Pinto LN
Suite 200
Las Vegas, NV 89106-4007
Phone (702) 382-3200
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50157 | AZ | MD | Obstetrics & Gynecology Physician |
| C194597 | CA | MD | Obstetrics & Gynecology Physician |
| 50157 | NV | MD | Obstetrics & Gynecology Physician |
| MT199509 | PA | MD | Obstetrics & Gynecology Physician |
| 13918170-1205 | UT | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner - University Hospital Based Physicians LLC | Current | Accepting new patients | |
| Obstetrix Medical Group of Phoenix PC | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Intermountain Medical Holdings Nevada Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Iriye Medical Group PLLC | Current | Accepting new patients | |
| Kingman Healthcare, Inc | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Banner - University Hospital Based Physicians LLC | Current | Accepting new patients | |
| Kingman Healthcare, Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Intermountain Medical Holdings Nevada Inc | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Obstetrics & Gynecology | Current | Accepting new patients |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Kingman Healthcare, Inc | Current | Accepting new patients | |
| Kingman Healthcare, Inc | Obstetrics & Gynecology | Past | Accepting new patients |
| Sunrise Hospital and Medical Center, LLC | Past | Accepting new patients | |
| Obstetrix Medical Group of Phoenix PC | Past | Accepting new patients | |
| Sutter North Medical Foundation | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Allara Medical Group PA | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
1739 E Beverly Ave
Ste 101
Kingman, AZ 86409
Phone (928) 681-8681
3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626
1739 E Beverly Ave
Ste 200
Kingman, AZ 86409
Phone (928) 263-4722
33400 N 32nd Ave
Phoenix, AZ 85085
Phone (540) 998-0000
1331 N 7th St
Ste 2
Phoenix, AZ 85006
Phone (602) 257-8118
1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000
9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383
2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731
815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900
600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755
2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850
2725 Capitol Ave
Dept 304
Sacramento, CA 95816
Phone (916) 262-9414
6355 S Buffalo Dr
Fl 3
Las Vegas, NV 89113
Phone (702) 479-4881
2011 Pinto Ln
Ste 200
Las Vegas, NV 89106
Phone (702) 382-3200
5320 S Rainbow Blvd
Ste 182
Las Vegas, NV 89118
Phone (702) 304-5722
4880 Wynn Rd
Las Vegas, NV 89103
Phone (702) 382-4554
1397 S Loop Rd
Pahrump, NV 89048
Phone (775) 727-5500
1303 N Main St
Ste 3C
Cedar City, UT 84721
Phone (435) 867-7433
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
Interoperability endpoints
- rachel.dern@335000925634564.direct.elationemr.com
- rachel.dern@slpg.direct-sluhn.org
- rdern694183@hisp.ehr.sutterhealth.org
Organizations & group practices 21
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.
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1750751566
AZ
-
- Internal Medicine Physician
- Henderson, NV
- NPI 1245997279
NV, Obstetrics & Gynecology
-
- Neonatal-Perinatal Medicine Physician
- Mesa, AZ
- NPI 1407957152
AZ
-
- Multi-Specialty Clinic/Center
- Fairfield, CA
- NPI 1184859894
Obstetrics & Gynecology
-
- Durable Medical Equipment & Medical Supplies
- Tracy, CA
- NPI 1720930712
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1538879481
-
- Family Medicine Physician
- Cedar City, UT
- NPI 1922132828
-
- Psychiatry Physician
- St George, UT
- NPI 1023843844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730332800000",
"number": "1437439262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 255228",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958655228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 SUTTER PL",
"city": "DAVIS",
"state": "CA",
"postal_code": "956166201",
"telephone_number": "916-262-9414",
"fax_number": "916-262-9420"
}
],
"practiceLocations": [
{
"address_1": "2800 E Cottonwood Pkwy Ste 400",
"address_purpose": "LOCATION",
"city": "Cottonwood Heights",
"state": "UT",
"postal_code": "841217296",
"country_code": "US",
"telephone_number": "385-478-4518",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "926 E McDowell Rd",
"address_2": "Suite 134",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850062503",
"country_code": "US",
"telephone_number": "602-288-0779",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2011 Pinto Ln Ste 200",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891064007",
"country_code": "US",
"telephone_number": "702-382-3200",
"fax_number": "702-382-3575",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DERN",
"first_name": "RACHEL",
"middle_name": "ELAINE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-24",
"last_updated": "2024-10-31",
"certification_date": "2024-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "UT",
"license": "13918170-1205",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NV",
"license": "50157",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "PA",
"license": "MT199509",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "AZ",
"license": "50157",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "C194597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.