Individual provider Active NPI

Mary Rahders, MD

  • Family Medicine Physician
  • Santa Cruz, CA
National Provider Identifier
1568994366
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A157139 Issued in CA
Practice address
1510 Capitola Rd
Santa Cruz, CA 95062-2912
Phone
(831) 427-3500
Fax
(831) 457-2486
NPI assigned
Mar 30, 2017
Last updated
Aug 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A157139 CA Primary

Addresses

Primary practice location

1510 Capitola Rd
Santa Cruz, CA 95062-2912

Mailing address

PO Box 542
Santa Cruz, CA 95061-0542
Phone (831) 427-3500

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
I20200630002159 CA Practitioner - Family Practice 9931522422 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Tulane University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Santa Cruz Community Health CentersGroup PAC ID 0840259107, shared by 3 NPIs, 16 clinicians
County of SacramentoGroup PAC ID 0345231247, shared by 3 NPIs, 45 clinicians
Regents of the Univ of CaGroup PAC ID 3375456619, 1,571 clinicians

Practice addresses (Care Compare)

1510 Capitola Rd
Santa Cruz, CA 95062-2912
Phone (831) 427-3500

4600 Broadway
Sacramento, CA 95820-1527

4860 Y St
Sacramento, CA 95817-2307
Phone (916) 734-8046

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.15 of 100Reported as group
Quality
64.8
Promoting interoperability
100
Improvement activities
40
Cost
68.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A157139CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca Current Accepting new patients
County of Sacramento Current Accepting new patients
Regents of the University of California CurrentSince Aug 1, 2025 Accepting new patients
Regents of the Univ of Ca Family Medicine CurrentSince Aug 15, 2020 Accepting new patients
County of Sacramento CurrentSince Jul 1, 2020 Accepting new patients
Telecare Corporation CurrentSince Dec 11, 2023 Accepting new patients
Regents of the Univ of Ca CurrentSince Aug 15, 2020 Accepting new patients
County of Sacramento CurrentSince Jul 1, 2020 Accepting new patients
Regents of the University of California CurrentSince Aug 1, 2025 Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Regents of the University of California Past Accepting new patients

Locations

1400 A St
Bldg A
Sacramento, CA 95811
Phone (916) 440-1500

2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030

4600 Broadway
Sacramento, CA 95820
Phone (916) 874-9670

4600 Broadway
#1100
Sacramento, CA 95820
Phone (916) 874-9670

4600 Broadway
Ste 1300
Sacramento, CA 95820
Phone (916) 874-9823

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

4860 Y St
Ste 1600
Sacramento, CA 95817
Phone (916) 734-2833

4860 Y St
Ste 200
Sacramento, CA 95817
Phone (916) 734-3761

4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313

7001 East Pkwy
#A
Sacramento, CA 95823
Phone (916) 875-5701

Interoperability endpoints

  • Direct secure messaging: morsulak308870@direct.ochin.org
  • Direct secure messaging: morsulak674206@direct.ochin.org

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1568994366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 542",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950610542",
            "telephone_number": "831-427-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 CAPITOLA RD",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622912",
            "telephone_number": "831-427-3500",
            "fax_number": "831-457-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHDERS",
        "first_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-30",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A157139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.