Provider Demographics
NPI:1225126170
Name:HO, RACHEL J (RN, NP, MSN)
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:J
Last Name:HO
Suffix:
Gender:F
Credentials:RN, NP, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 SEBASTIAN DR
Mailing Address - Street 2:
Mailing Address - City:MILLBRAE
Mailing Address - State:CA
Mailing Address - Zip Code:94030-2940
Mailing Address - Country:US
Mailing Address - Phone:415-680-4389
Mailing Address - Fax:650-648-0747
Practice Address - Street 1:209 SEBASTIAN DR
Practice Address - Street 2:
Practice Address - City:MILLBRAE
Practice Address - State:CA
Practice Address - Zip Code:94030
Practice Address - Country:US
Practice Address - Phone:415-680-4389
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2016-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA612829363LF0000X
CA14707363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACK043ZMedicare PIN