Individual provider Active NPI

Rachel Michelle Gianfortune, M.D.

  • Pediatrics Physician
  • La Mesa, CA
National Provider Identifier
1912193301
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A94327 Issued in CA
Practice address
8881 Fletcher Pkwy Ste 205
La Mesa, CA 91942-3187
Phone
(619) 464-6434
Fax
(619) 464-5109
NPI assigned
Sep 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A94327 CA Primary

Addresses

Primary practice location

8881 Fletcher Pkwy Ste 205
La Mesa, CA 91942-3187

Mailing address

8881 Fletcher Pkwy Ste 205
La Mesa, CA 91942-3187
Phone (619) 464-6434

Other identifiers 1

IdentifierTypeStateIssuer
A94327OtherCAMEDICAL BOARD

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
I20071024000614 CA Practitioner - Pediatric Medicine 3779670609 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A94327CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency and Acute Care Medical Corporation CurrentSince Oct 1, 2018 Accepting new patients
Philip D Szold MD Inc Pediatrics Current Accepting new patients
North County Health Project Inc Past Accepting new patients
Grossmont Hospital Corporation Past Accepting new patients
Sharp Memorial Hospital Past Accepting new patients
Rady Children'S Hospital San Diego Past Accepting new patients
Marilyn Kaufhold, M.D., a Medical Corporation Past Accepting new patients

Locations

8881 Fletcher Pkwy
Ste 205
La Mesa, CA 91942
Phone (619) 270-4388

8881 Fletcher Pkwy
Ste 200
La Mesa, CA 91942
Phone (619) 270-4388

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

Organizations & group practices 7

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": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1912193301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8881 FLETCHER PKWY STE 205",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423187",
            "telephone_number": "619-464-6434",
            "fax_number": "619-464-5109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8881 FLETCHER PKWY STE 205",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423187",
            "telephone_number": "619-464-6434",
            "fax_number": "619-464-5109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANFORTUNE",
        "first_name": "RACHEL",
        "middle_name": "MICHELLE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-19",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A94327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD",
            "identifier": "A94327",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.