Individual provider Active NPI

Rachael Marie Renton, NP

  • Adult Health Nurse Practitioner
  • San Rafael, CA
National Provider Identifier
1700555802
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
95018362 Issued in CA
Practice address
291 Smith Ranch Rd
San Rafael, CA 94903-2093
Phone
(415) 457-6964
NPI assigned
Sep 10, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 95018362 CA Primary

Addresses

Primary practice location

291 Smith Ranch Rd
San Rafael, CA 94903-2093

Mailing address

1100 Webster St Apt 868
Oakland, CA 94607-4651
Phone (818) 601-5398

Other practice location 1

2960 Camino Diablo Ste 105
Walnut Creek, CA 94597-3945
Phone (800) 892-2695

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231023003214 CA Practitioner - Nurse Practitioner 9931555257 Reassigns benefits to 1 organization
I20251230004152 NM Practitioner - Nurse Practitioner 9931555257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of California, San Francisco School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bright Heart Health Medical Group a Medical CorporationGroup PAC ID 2264775790, 11 clinicians

Practice addresses (Care Compare)

150 Washington Ave
Suite 201
Santa Fe, NM 87501-2038
Phone (800) 892-2695

2960 Camino Diablo
Suite 105
Walnut Creek, CA 94597-3945
Phone (800) 892-2695

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95018362CAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Heart Health Medical Group a Medical Corporation CurrentSince Mar 20, 2025 Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients
Helen Vine Recovery Center PastSince May 18, 2025 Accepting new patients

Locations

2960 Camino Diablo
Ste 105
Walnut Creek, CA 94597
Phone (631) 759-0623

150 Washington Ave
Ste 201
Santa Fe, NM 87501
Phone (505) 204-4788

Organizations & group practices 3

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": "1631232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1700555802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 WEBSTER ST APT 868",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946074651",
            "telephone_number": "818-601-5398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 SMITH RANCH RD",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032093",
            "telephone_number": "415-457-6964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2960 Camino Diablo Ste 105",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945973945",
            "country_code": "US",
            "telephone_number": "800-892-2695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENTON",
        "first_name": "RACHAEL",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-10",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95018362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

Verify at the official NPI Registry.