Individual provider Active NPI

Rachel Marie Harris Roberts, MD

  • Internal Medicine Physician
  • Emeryville, CA
National Provider Identifier
1477757375
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A104970 Issued in CA
Practice address
5800 Hollis St
Emeryville, CA 94608-2016
Phone
(510) 806-2100
NPI assigned
Jun 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A104970 CA Primary

Addresses

Primary practice location

5800 Hollis St
Emeryville, CA 94608-2016

Mailing address

5800 Hollis St
Emeryville, CA 94608-2016
Phone (510) 806-2100

Other practice location 1

14251 Winchester Blvd Ste 200
Los Gatos, CA 95032-1811
Phone (408) 426-5540

Other practice location 2

1300 Crane St
Menlo Park, CA 94025-4260
Phone (650) 724-4430

Other practice location 3

2204 Grant Rd Ste 203
Mountain View, CA 94040-3877
Phone (888) 924-1036

Other names 1

  • Rachel Marie Harris Seaman Former name

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
I20081024000167 CA Practitioner - Internal Medicine 6507959236 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A104970CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stanford Health Care Internal Medicine Current Accepting new patients
University Healthcare Alliance Internal Medicine CurrentSince Sep 2, 2008 Accepting new patients
Stanford Health Care CurrentSince Oct 26, 2022 Accepting new patients
Stanford Health Care Internal Medicine CurrentSince Oct 26, 2022 Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients

Locations

50 E Hamilton Ave
Ste 280
Campbell, CA 95008
Phone (408) 227-2646

5800 Hollis St
Emeryville, CA 94608
Phone (510) 806-2100

14251 Winchester Blvd
#200
Los Gatos, CA 95032
Phone (408) 426-5540

1300 Crane St
Menlo Park, CA 94025
Phone (510) 785-5000

2204 Grant Rd
Ste 203
Mountain View, CA 94040
Phone (650) 940-1335

4725 1st St
Ste 100
Pleasanton, CA 94566
Phone (925) 462-7060

6475 Camden Ave
Ste 105
San Jose, CA 95120
Phone (408) 997-9155

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

Interoperability endpoints

  • Direct secure messaging: rachel.roberts@49412312072196.direct.elationemr.com

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1477757375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 HOLLIS ST",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946082016",
            "telephone_number": "510-806-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 HOLLIS ST",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946082016",
            "telephone_number": "510-806-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14251 Winchester Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Los Gatos",
            "state": "CA",
            "postal_code": "950321811",
            "country_code": "US",
            "telephone_number": "408-426-5540",
            "fax_number": "408-385-0001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 Crane St",
            "address_purpose": "LOCATION",
            "city": "Menlo Park",
            "state": "CA",
            "postal_code": "940254260",
            "country_code": "US",
            "telephone_number": "650-724-4430",
            "fax_number": "650-326-7931",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2204 Grant Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Mountain View",
            "state": "CA",
            "postal_code": "940403877",
            "country_code": "US",
            "telephone_number": "888-924-1036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "RACHEL",
        "middle_name": "MARIE HARRIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A104970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "SEAMAN",
            "middle_name": "MARIE HARRIS",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Emeryville, CA

Sources for this page

Verify at the official NPI Registry.