=====================================================
General NPI Number Information
=====================================================
NPI Number | 1154071439
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | RACHEL MCNIFF MD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/28/2022
-----------------------------------------------------
Last Update Date | 07/16/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1505 SAINT ALPHONSUS WAY
-----------------------------------------------------
City | ALAMO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94507-1570
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 925-838-4633
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1450 TREAT BLVD STE 300
-----------------------------------------------------
City | WALNUT CREEK
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94597-2168
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 925-952-2828
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208000000X
-----------------------------------------------------
Taxonomy Name | Pediatrics Physician
-----------------------------------------------------
License Number | A201369
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------