Individual provider Active NPI

Rachel Anne Parker, PA-C

  • Physician Assistant
  • Hemet, CA
National Provider Identifier
1871595017
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA17192 Issued in CA
Practice address
1264 E Latham Ave
Hemet, CA 92543-4445
Phone
(951) 925-3600
NPI assigned
Jun 1, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X
Physician Assistant 363A00000X PA17192 CA Primary

Addresses

Primary practice location

1264 E Latham Ave
Hemet, CA 92543-4445

Mailing address

1264 E Latham Ave
Hemet, CA 92543-4445
Phone (951) 925-3600

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
I20050720000881 CA Practitioner - Physician Assistant 6507893625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1264 E Latham Ave
Hemet, CA 92543-4445

17853 Santiago Blvd
Suite 107
Villa Park, CA 92861-4100

17853 Santiago Blvd
Suite 107
Villa Park, CA 92861-4199

28830 Laurel LN
Temecula, CA 92591-7582

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA17192CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ridgecrest Regional Hospital Past Accepting new patients
Hemet Healthcare Surgicenter, Inc. Past Accepting new patients
Freeport Memorial Hospital Past Accepting new patients
Karma TMS PC PastSince May 29, 2022 Accepting new patients

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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1871595017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1264 E LATHAM AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434445",
            "telephone_number": "951-925-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1264 E LATHAM AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434445",
            "telephone_number": "951-925-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "RACHEL",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-01",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA17192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

Verify at the official NPI Registry.