Individual provider Active NPI

Rachel Suzanne Ford, M.D.

  • Plastic Surgery Physician
  • Murrieta, CA
National Provider Identifier
1851682264
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
A122480 Issued in CA
Practice address
24687 Monroe Ave
Murrieta, CA 92562-9591
Phone
(951) 506-1040
Fax
(951) 506-1044
NPI assigned
Apr 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Plastic Surgery Physician 208200000X A122480 CA Primary

Addresses

Primary practice location

24687 Monroe Ave
Murrieta, CA 92562-9591

Mailing address

24687 Monroe Ave
Murrieta, CA 92562-9591
Phone (951) 506-1040

Other names 1

  • Rachel Suzanne Melton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A122480CAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Renuance Cosmetic Surgery Center CurrentSince Dec 15, 2024 Accepting new patients
Brian J. Eichenberg, M.D., a Professional Corporation Plastic Surgery PastSince Jul 24, 2022 Accepting new patients

Locations

24687 Monroe Ave
Murrieta, CA 92562
Phone (951) 309-7794

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.

NPI Registry JSON

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1851682264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24687 MONROE AVE",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925629591",
            "telephone_number": "951-506-1040",
            "fax_number": "951-506-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24687 MONROE AVE",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925629591",
            "telephone_number": "951-506-1040",
            "fax_number": "951-506-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "RACHEL",
        "middle_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A122480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "MELTON",
            "middle_name": "SUZANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.