Rebecca Lee Fallen

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

95430313 Issued in CA

Practice address

15200 Foothill Blvd
Castro Valley, CA 94578-1013

Phone

(510) 764-4060

NPI assigned

Dec 8, 2025

Last updated

Dec 8, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1765152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1710840491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 SINGLE OAKS DR",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721201545",
            "telephone_number": "501-733-7290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 FOOTHILL BLVD",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945781013",
            "telephone_number": "510-764-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALLEN",
        "first_name": "REBECCA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-08",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "CA",
            "license": "95430313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evergreen at Castro Valley, L.L.C. (Evergreen Castro Valley)
• Jane Henderson Eversole, PT, MA
• Exceed GS LLC (Exceed Medical Group)
• Eye Specialties Medical Group Inc.
• Eyebright Optometry
• Samuel Hailemariam Fantaye, MD
• Joell Farrar
• Joseph P Farrell, PHYSICAL THERAPIST
• Farnoosh Farrokhi
• Teofik Fehimovic

• Administrator Registered Nurse in Castro Valley, CA
• Providers in Castro Valley, CA by specialty
• Administrator Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.