Healthcare Provider Details

I. General information

NPI: 1144132515
Provider Name (Legal Business Name): RACHEL ELLEN JOY BOUSFIELD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RACHEL ELLEN JOY UNITT-BOUSFIELD

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 CROWN POINT CIR STE 110
GRASS VALLEY CA
95945-9534
US

IV. Provider business mailing address

333 CROWN POINT CIR STE 110
GRASS VALLEY CA
95945-9534
US

V. Phone/Fax

Practice location:
  • Phone: 530-388-4567
  • Fax:
Mailing address:
  • Phone: 530-388-4567
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: