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JOSHUA MANDELA RAE
NPI 1134548522
Student in an Organized Health Care Education/Training Program in Oakland, CA

Active since April 14, 2014PECOS EnrolledAccepts Medicare Assignment
280 W MACARTHUR BLVD, OAKLAND, CA 94611(510) 752-7823 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Joshua Mandela Rae NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSHUA MANDELA RAE (NPI 1134548522) is an individual student in an organized health care education/training program in Oakland, California and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS and is a graduate of New York Medical College (2014).

NPPES Registry Identity

NPI1134548522
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOSHUA MANDELA RAE
Location Address280 W MACARTHUR BLVDOakland, CA 94611-5642
Mailing Address280 W Macarthur BlvdOakland, CA 94611-5642
Phone(510) 752-7823
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 2014
Enumeration DateApril 14, 2014
Last NPPES UpdateDecember 17, 2021
✔ NPI 1134548522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
280 W MACARTHUR BLVD, Oakland, CA 94611
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Joshua Mandela Rae is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052650876
PECOS Enrollment IDI20190221003152
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA CHANG PHARM.D., APH
Pharmacist
280 W MACARTHUR BLVD
OAKLAND, CA 94611
Alameda County (510) 752-8859
NORMA MIYEKO MARUBAYASHI HOLLOWAY PHARMD
Pharmacist
280 W MACARTHUR BLVD
OAKLAND, CA 94611
Alameda County (510) 752-6468
DIANA HIROS CRNA
Nurse Anesthetist, Certified Registered
280 W MACARTHUR BLVD
OAKLAND, CA 94611
Alameda County (510) 752-6238
IVY I. YU MD
Obstetrics & Gynecology
280 W MACARTHUR BLVD
OAKLAND, CA 94611
Alameda County (510) 752-1000
THERESE M. HICKEY MD
Anesthesiology
280 W MACARTHUR BLVD
OAKLAND, CA 94611
Alameda County (510) 752-1000
JOHN L. JONES MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
280 W MACARTHUR BLVD
OAKLAND, CA 94611
Alameda County (510) 752-1000
ANNETTE CHENEVEY CRNA
Nurse Anesthetist, Certified Registered
280 W MACARTHUR BLVD
OAKLAND, CA 94611
Alameda County (510) 752-6238
MRS. MICHELE NG PHARM.D.
Pharmacist
280 W MACARTHUR BLVD
OAKLAND, CA 94611
Alameda County (510) 752-6141

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joshua Rae's NPI number?

The NPI number for Joshua Rae is 1134548522. It was assigned to this individual provider in the NPPES registry on April 14, 2014.

Where is Joshua Rae located?

Joshua Rae practices at 280 W Macarthur Blvd, Oakland, CA 94611. The listed phone number is (510) 752-7823.

What is Joshua Rae's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Joshua Rae enrolled in Medicare?

Yes. Joshua Rae is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Joshua Rae was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.