Individual provider Active NPI

Rachel Pasternak Wakely, LCSW

  • Clinical Social Worker
  • Irvine, CA
National Provider Identifier
1770012189
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
78324 Issued in CA
Practice address
15635 Alton Pkwy Ste 350
Irvine, CA 92618-7333
Phone
(949) 528-6300
NPI assigned
Jun 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 76492 CA
Clinical Social Worker 1041C0700X 149019163 IL
Clinical Social Worker 1041C0700X 78324 CA Primary

Addresses

Primary practice location

15635 Alton Pkwy Ste 350
Irvine, CA 92618-7333

Mailing address

15635 Alton Pkwy Ste 350
Irvine, CA 92618-7333

Other names 1

  • Rachel Pasternak Former name

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220322003326 CA Practitioner - Clinical Social Worker 6204221526 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orange County Health Psychologists IncGroup PAC ID 4688990260, 59 clinicians

Practice addresses (Care Compare)

15635 Alton Pkwy
Suite 350
Irvine, CA 92618-7333
Phone (949) 528-6300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
76492CAMDSocial Worker
149019163ILMDClinical Social Worker
78324CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Kamala Thomas Psychological Services Corp CurrentSince Sep 18, 2023 Accepting new patients
Midwest Post-Acute Care of California PC Clinical CurrentSince Jan 3, 2023 Accepting new patients
Orange County Health Psychologists, Inc. CurrentSince Sep 18, 2023 Accepting new patients

Locations

6400 Purdue Dr
Eureka, CA 95503
Phone (707) 443-5668

12681 Haster St
Garden Grove, CA 92840
Phone 71494122593

15635 Alton Pkwy
Ste 350
Irvine, CA 92618
Phone (949) 528-6300

39950 Vista del Sol
Rancho Mirage, CA 92270
Phone (760) 340-0053

4070 Jurupa Ave
Riverside, CA 92506
Phone (949) 239-4410

8171 Magnolia Ave
Riverside, CA 92504
Phone (951) 657-3842

600 E Washington Ave
Santa Ana, CA 92701
Phone (714) 973-1656

6940 Pacific Ave
Stockton, CA 95207
Phone (209) 477-0817

27600 Encanto Dr
Sun City, CA 92586
Phone (951) 679-6858

Organizations & group practices 4

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": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1770012189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15635 ALTON PKWY STE 350",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926187333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15635 ALTON PKWY STE 350",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926187333",
            "telephone_number": "949-528-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAKELY",
        "first_name": "RACHEL",
        "middle_name": "PASTERNAK",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "76492",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149019163",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "78324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "PASTERNAK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.