Individual provider Active NPI

Harini Racherla

  • Pediatrics Physician
  • West Sacramento, CA
National Provider Identifier
1861770737
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A133840 Issued in CA
Practice address
2101 Stone Blvd
#6M
West Sacramento, CA 95691-4044
Phone
(917) 704-7844
NPI assigned
Jul 26, 2011
Last updated
Jun 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X #390200000X NY
Pediatrics Physician 208000000X A133840 CA Primary

Addresses

Primary practice location

2101 Stone Blvd
#6M
West Sacramento, CA 95691-4044

Mailing address

18 Outer Banks PL
#6M
Sacramento, CA 95835-2469
Phone (917) 704-7844

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
I20181203002918 CA Practitioner - Pediatric Medicine 2264776111 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A133840CAMDPediatrics Physician
#390200000XNYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ampla Health CurrentSince Sep 10, 2018 Accepting new patients
Ampla Health CurrentSince Sep 10, 2018 Accepting new patients
Ampla Health Current Accepting new patients
Ampla Health Past Accepting new patients

Locations

4941 Olivehurst Ave
Olivehurst, CA 95961
Phone (530) 743-4611

2800 Lincoln St
Oroville, CA 95966
Phone (530) 534-7500

1000 Sutter St
Yuba City, CA 95991
Phone (530) 673-9420

931 Market St
Yuba City, CA 95991
Phone (530) 671-8820

935 Market St
Yuba City, CA 95991
Phone (530) 674-4261

Interoperability endpoints

  • Direct secure messaging: harini.racherla@ampla.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1861770737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 OUTER BANKS PL",
            "address_2": "#6M",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958352469",
            "telephone_number": "917-704-7844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 STONE BLVD",
            "address_2": "#6M",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956914044",
            "telephone_number": "917-704-7844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACHERLA",
        "first_name": "HARINI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-26",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "#390200000X",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A133840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Sacramento, CA

Sources for this page

Verify at the official NPI Registry.