Individual provider Active NPI

Rachel Brinitzer, RN, FNP-C

  • Family Nurse Practitioner
  • San Mateo, CA
National Provider Identifier
1609416593
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95013456 Issued in CA
Practice address
1900 Ofarrell St Ste 190
San Mateo, CA 94403-1372
Phone
(650) 306-9490
NPI assigned
Jan 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP95013456 CA Primary

Addresses

Primary practice location

1900 Ofarrell St Ste 190
San Mateo, CA 94403-1372

Mailing address

3967 Mission St Apt 2
San Francisco, CA 94112-1029
Phone (916) 595-4324

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200710002606 CA Practitioner - Nurse Practitioner 1254754179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Remedy Medical GroupGroup PAC ID 7618166091, 12 clinicians

Practice addresses (Care Compare)

1900 Ofarrell St
Suite 190
San Mateo, CA 94403-1372
Phone (650) 306-9490

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
NP95013456CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Remedy Medical Group CurrentSince Jun 25, 2020 Accepting new patients

Locations

1330 Tara Hills Dr
Ste E105
Pinole, CA 94564
Phone (650) 667-2322

490 Post St
Ste 900
San Francisco, CA 94102
Phone (415) 362-7177

1900 Ofarrell St
Ste 190
San Mateo, CA 94403
Phone 6503069490 ext. 119

Organizations & group practices 1

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": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1609416593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3967 MISSION ST APT 2",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941121029",
            "telephone_number": "916-595-4324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 OFARRELL ST STE 190",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944031372",
            "telephone_number": "650-306-9490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINITZER",
        "first_name": "RACHEL",
        "credential": "RN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-08",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95013456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.