Individual provider Active NPI

Rachael Morin Rayburn, D.O.

  • Obstetrics & Gynecology Physician
  • Fresno, CA
National Provider Identifier
1558611665
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
20A18344 Issued in CA
Practice address
7050 N Recreation Ave Ste 105
Fresno, CA 93720-8001
Phone
(559) 321-2930
Fax
(559) 321-2940
NPI assigned
Sep 17, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X DO176571 OR
Obstetrics & Gynecology Physician 207V00000X TRAINING PERMIT NJ
Obstetrics & Gynecology Physician 207V00000X 20A18344 CA Primary

Addresses

Primary practice location

7050 N Recreation Ave Ste 105
Fresno, CA 93720-8001

Mailing address

7050 N Recreation Ave Ste 105
Fresno, CA 93720-8001
Phone (559) 321-2930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20220929002700 CA Practitioner - Obstetrics/Gynecology 1153604830
I20230119002062 CA Practitioner - Osteopathic Manipulative Medicine 1153604830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

7050 N Recreation Ave
Suite 105
Fresno, CA 93720-8001
Phone (559) 323-2930

Merit-based Incentive Payment System (MIPS)

Final score
90.41 of 100Reported as group
Quality
87.02
Promoting interoperability
100
Improvement activities
40
Cost
78.21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TRAINING PERMITNJMDEmergency Medicine Physician
20A18344CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Foundation Medical Group CurrentSince Jan 1, 2023 Accepting new patients
Community Foundation Medical Group Current Accepting new patients

Locations

7095 N Chestnut Ave
Ste 101
Fresno, CA 93720
Phone (559) 323-8200

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

7095 N Chestnut Ave
Ste 102
Fresno, CA 93720
Phone (559) 321-2930

7050 N Recreation Ave
Ste 105
Fresno, CA 93720
Phone (559) 321-2930

Interoperability endpoints

  • Direct secure messaging: rachael.rayburn@caa011.digichart.direct-ci.com

Organizations & group practices 2

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": "1347840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1558611665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7050 N RECREATION AVE STE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937208001",
            "telephone_number": "559-321-2930",
            "fax_number": "559-321-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7050 N RECREATION AVE STE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937208001",
            "telephone_number": "559-321-2930",
            "fax_number": "559-321-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORIN RAYBURN",
        "first_name": "RACHAEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-17",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "DO176571",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "TRAINING PERMIT",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "20A18344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.