Healthcare Provider Details

I. General information

NPI: 1144899253
Provider Name (Legal Business Name): RACHEL SHANNON FIELDS MD, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2021
Last Update Date: 03/04/2025
Certification Date: 03/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 ALHAMBRA BLVD STE 300
SACRAMENTO CA
95816-5241
US

IV. Provider business mailing address

1201 ALHAMBRA BLVD STE 330
SACRAMENTO CA
95816-5242
US

V. Phone/Fax

Practice location:
  • Phone: 916-451-4400
  • Fax: 916-731-7955
Mailing address:
  • Phone: 916-731-7770
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA186830
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: