Individual provider Active NPI

Daniela Baciu, P.A., MHS

  • Medical Physician Assistant
  • Delray Beach, FL
National Provider Identifier
1235307596
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
9102517 Issued in FL
Practice address
5210 Linton Blvd
Suite 307
Delray Beach, FL 33484-6542
Phone
(561) 499-0660
Fax
(561) 499-4094
NPI assigned
Feb 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 9102517 FL Primary

Addresses

Primary practice location

5210 Linton Blvd
Suite 307
Delray Beach, FL 33484-6542

Mailing address

5210 Linton Blvd
Suite 307
Delray Beach, FL 33484-6542
Phone (561) 499-0660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9102517FLMDMedical Physician Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215561600000",
    "number": "1235307596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5210 LINTON BLVD",
            "address_2": "SUITE 307",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846542",
            "telephone_number": "561-499-0660",
            "fax_number": "561-499-4094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5210 LINTON BLVD",
            "address_2": "SUITE 307",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846542",
            "telephone_number": "561-499-0660",
            "fax_number": "561-499-4094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACIU",
        "first_name": "DANIELA",
        "credential": "P.A., MHS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-20",
        "last_updated": "2008-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "9102517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.