James Richard Rabago, MD
Individual provider Active NPI Family Medicine Physician · Merced, CA
NPI 1467563445 · NPPES record last updated Dec 19, 2019
Key facts
- NPI
- 1467563445
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- G77750 (CA)
- Practice address
- 3393 G St Ste C
Merced, CA 95340-1001 - Phone
- (209) 580-4172
- Fax
- (209) 233-9859
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of California, Davis School of Medicine
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Merced Faculty Associates Medical Group Incorporated
Practice addresses (Care Compare)
127 W El Portal Dr
Merced, CA 95348-2853
Phone (209) 723-3704
19901 1St St
Suite 4
Hilmar, CA 95324-9099
Phone (209) 656-8701
3393 G St
Suite C
Merced, CA 95340-1001
Phone (209) 580-4172
374 W Olive Ave
Suite a
Merced, CA 95348-3181
Phone (209) 205-1001
374 W Olive Ave a
Fountain View Urgent Care
Merced, CA 95348-3181
Phone (209) 384-5766
374 W Olive Ave B
Mfa Lifetime Healthcare
Merced, CA 95348-3181
Phone (209) 383-3076
378 W Olive Ave
Merced, CA 95348-3182
378 W Olive Ave B
Fountain View Radiological Med SVCS
Merced, CA 95348-3182
Phone (209) 384-3024
378 W Olive Ave C
Mfa Podiatry
Merced, CA 95348-3182
Phone (209) 384-3198
535 W 25TH St
Mfa Parkside Medical Clinic
Merced, CA 95340-2838
Phone (209) 722-9066
Hospital & facility affiliations
- Mercy Home Care
- Careone Home Health and Hospice, Inc
- Mercy Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080626000597 | CA | Practitioner - Family Practice | 3072580018 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G77750 | CA | MD | Family Medicine Physician |
Practice roles (2 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Merced Faculty Associates Medical Group, Incorporated | Family Medicine | Current |
Accepting new patients |
| Dignity Health | Past | Accepting new patients |
Locations
3393 G St
Ste C
Merced, CA 95340
Phone (209) 580-4172
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- james.rabago.1@3012.direct.athenahealth.com
- https://api.platform.athenahealth.com/3012/brand/1/csg/1/fhir/r4
- james.rabago.p1@direct.castle.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G77750 | CA | Yes |
Addresses
Primary practice location
3393 G St Ste C
Merced, CA 95340-1001
Mailing address
PO Box 3768
Merced, CA 95344-3768
Phone (209) 723-3704
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G777500 | Medicaid | CA |
Other providers in Merced, CA
- Vanessa Quezada
- Gregg A Quibal
- James Martin Quinn
- Ashley Quiroz
- David Anthony Quiroz Jr.
- Leizyl Racion
- Rafael Radillo
- Arvind Rai
- Rainbow Valley Group Home, Inc.
- Rainbow Valley Group Home, Inc.
All providers in Merced, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.