Individual provider Active NPI

Rachael Kendall, FNP-C

  • Family Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1740936111
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95020848 Issued in CA
Practice address
1792 Garnet Ave
San Diego, CA 92109-3350
Phone
(858) 483-1489
NPI assigned
Feb 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95156349 CA
Family Nurse Practitioner 363LF0000X 95020848 CA Primary

Addresses

Primary practice location

1792 Garnet Ave
San Diego, CA 92109-3350

Mailing address

1792 Garnet Ave
San Diego, CA 92109-3350

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
I20220620000684 CA Practitioner - Nurse Practitioner 0042699290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sharpcare Medical Group ApcGroup PAC ID 0244518736, 23 clinicians

Practice addresses (Care Compare)

8851 Ctr Dr
Suite 500
La Mesa, CA 91942-3033
Phone (619) 740-5757

Hospital & facility affiliations

  • Grossmont Hospital Hospital, La Mesa, CA, CCN 050026
  • Sharp Memorial Hospital Hospital, San Diego, CA, CCN 050100

Merit-based Incentive Payment System (MIPS)

Final score
80.12 of 100Reported as group
Quality
75.08
Improvement activities
40
Cost
79.41

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95020848CAMDFamily Nurse Practitioner
95156349CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sharpcare Medical Group, Apc CurrentSince May 26, 2025 Accepting new patients
Sharp Healthcare Past Accepting new patients

Locations

8851 Center Dr
Ste 500
La Mesa, CA 91942
Phone (619) 461-2660

230 Prospect Pl
Ste 340B
San Diego, CA 92118
Phone (619) 522-4000

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1645660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1740936111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1792 GARNET AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921093350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1792 GARNET AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921093350",
            "telephone_number": "858-483-1489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDALL",
        "first_name": "RACHAEL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95156349",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95020848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.