Healthcare Provider Details

I. General information

NPI: 1174969489
Provider Name (Legal Business Name): RACHEL GITA FOSTER PSY.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RACHEL GITA BALDWIN-FOSTER BALDWIN, BASHAN

II. Dates (important events)

Enumeration Date: 05/14/2013
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10535 HOSPITAL WAY
MATHER CA
95655-4200
US

IV. Provider business mailing address

10535 HOSPITAL WAY
MATHER CA
95655-4200
US

V. Phone/Fax

Practice location:
  • Phone: 310-266-7554
  • Fax:
Mailing address:
  • Phone: 310-266-7554
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY28670
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: