Individual provider Active NPI

Rachel Elaine Dern, M.D.

  • Obstetrics & Gynecology Physician
  • Davis, CA
National Provider Identifier
1437439262
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
C194597 Issued in CA
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

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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, CA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
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 61 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
50157AZMDObstetrics & Gynecology Physician
C194597CAMDObstetrics & Gynecology Physician
50157NVMDObstetrics & Gynecology Physician
MT199509PAMDObstetrics & Gynecology Physician
13918170-1205UTMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner - University Hospital Based Physicians LLC CurrentSince Aug 20, 2025 Accepting new patients
Obstetrix Medical Group of Phoenix PC CurrentSince Mar 1, 2024 Accepting new patients
Ihc Health Services Inc CurrentSince May 1, 2024 Accepting new patients
Intermountain Medical Holdings Nevada Inc Obstetrics & Gynecology CurrentSince Jul 8, 2024 Accepting new patients
Ihc Health Services, Inc. CurrentSince May 1, 2024 Accepting new patients
Iriye Medical Group PLLC CurrentSince Aug 5, 2024 Accepting new patients
Kingman Healthcare, Inc Current Accepting new patients
Sutter Valley Medical Foundation CurrentSince Sep 30, 2024 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Aug 20, 2025 Accepting new patients
Kingman Healthcare, Inc CurrentSince Aug 1, 2016 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Intermountain Medical Holdings Nevada Inc CurrentSince Jul 8, 2024 Accepting new patients
Sutter Valley Medical Foundation Obstetrics & Gynecology CurrentSince Sep 30, 2024 Accepting new patients
Sutter Valley Medical Foundation Current Accepting new patients
Kingman Healthcare, Inc CurrentSince Aug 1, 2016 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

  • Direct secure messaging: rachel.dern@335000925634564.direct.elationemr.com
  • Direct secure messaging: rachel.dern@slpg.direct-sluhn.org
  • Direct secure messaging: 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.

View all 21

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

Verify at the official NPI Registry.