Individual provider Active NPI

Joachim D Raese, MD

  • Psychiatry Physician
  • Visalia, CA
National Provider Identifier
1831286426
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
00A33990 Issued in CA
Practice address
1100 S.Akers Streey
Visalia, CA 93277
Phone
(707) 266-4436
Fax
(559) 635-6377
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 00A33990 CA Primary

Addresses

Primary practice location

1100 S.Akers Streey
Visalia, CA 93277

Mailing address

1100 S Akers St
Visalia, CA 93277-8311
Phone (707) 266-4436

Other identifiers 2

IdentifierTypeStateIssuer
330965207OtherHMO PPO INSURANCE
330965207MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091221000150 CA Practitioner - Psychiatry 9830239052 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of San JoaquinGroup PAC ID 6002703436, 199 clinicians

Practice addresses (Care Compare)

1212 N California St
Stockton, CA 95202-1552
Phone (209) 468-8700

Merit-based Incentive Payment System (MIPS)

Final score
53.98 of 100Reported as group
Quality
11.8
Promoting interoperability
74
Improvement activities
0
Cost
82.7

Merit-based Incentive Payment System (MIPS)

Final score
85.91 of 100Reported as group
Quality
75.49
Promoting interoperability
94
Improvement activities
40
Cost
73.96

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00A33990CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Joaquin Behavioral Health Services Current Accepting new patients
St. Helena Hospital Current Accepting new patients
St. Helena Hospital CurrentSince Apr 1, 2023 Accepting new patients
County of San Joaquin CurrentSince May 13, 2024 Accepting new patients
San Joaquin County Behavioral Health Services CurrentSince May 13, 2024 Accepting new patients

Locations

1209 W Tokay St
Ste 5
Lodi, CA 95240
Phone (209) 331-2070

10 Woodland Rd
Saint Helena, CA 94574
Phone (707) 963-2002

821 Saint Helena Hwy S
#208
Saint Helena, CA 94574

6 Woodland Rd
Ste 202
Saint Helena, CA 94574
Phone (707) 963-5294

10 Woodland Rd
Ste 502
Saint Helena, CA 94574
Phone (707) 963-1882

1212 N California St
Stockton, CA 95202
Phone (209) 468-8660

Organizations & group practices 5

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363219200000",
    "number": "1831286426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S AKERS ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932778311",
            "telephone_number": "707-266-4436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S.AKERS STREEY",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "93277",
            "telephone_number": "707-266-4436",
            "fax_number": "559-635-6377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAESE",
        "first_name": "JOACHIM",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2013-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "00A33990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO PPO INSURANCE",
            "identifier": "330965207",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "330965207",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.