NPIMap

Individual provider Active NPI

Rachel Farrell, PA

  • Physician Assistant
  • Marysville, CA
National Provider Identifier
1699834770
Registry record updated Aug 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA12277 Issued in CA
Practice address
1908 N Beale Rd
Suite E
Marysville, CA 95901-6937
Phone
(530) 743-6888
Fax
(530) 743-9823
NPI assigned
Dec 6, 2006
Last updated
Aug 9, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA12277 CA Primary
Midwife 176B00000X 169 CA

Addresses

Primary practice location

1908 N Beale Rd
Suite E
Marysville, CA 95901-6937

Mailing address

1908 N Beale Rd
Suite E
Marysville, CA 95901-6937
Phone (530) 743-6888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140131000701 CA Order and Referring Only - Physician Assistant 8729995550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
12277CAMDMental Health Counselor
169CAMDMidwife
PA12277CAMDPhysician Assistant

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Harmony Health Medical Clinic and Family Resource CenterMarysville, CA, CCN 751823 Federally qualified health center W-2 Managing Employee (100%) May 1, 2015
Harmony Health Medical Clinic and Family Resource CenterYuba City, CA, CCN 921020 Federally qualified health center Corporate Officer
W-2 Managing Employee (100%)		 May 1, 2013
May 1, 2013
Harmony Health Medical Clinic and Family Resource CenterMarysville, CA, CCN 921952 Federally qualified health center Corporate Officer (100%)
W-2 Managing Employee (100%)		 May 1, 2013
May 1, 2013
Harmony Health Medical Clinic and Family Resource CenterWheatland, CA, CCN A01193 Federally qualified health center Contracted Managing Employee (100%)
Corporate Officer (100%)		 May 1, 2013
May 1, 2013

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502236800000",
    "number": "1699834770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 N BEALE RD",
            "address_2": "SUITE E",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959016937",
            "telephone_number": "530-743-6888",
            "fax_number": "530-743-9823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 N BEALE RD",
            "address_2": "SUITE E",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959016937",
            "telephone_number": "530-743-6888",
            "fax_number": "530-743-9823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "RACHEL",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2017-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA12277",
            "primary": true
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CA",
            "license": "169",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, CA

Sources for this page

Verify at the official NPI Registry.