Rachana Dattani, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9108301 Issued in FL

Practice address

515 N Park Ave
Apopka, FL 32712-3634

Phone

(407) 814-4934

NPI assigned

Jul 14, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Rachana Vasaiwala Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• James J. Macool, M.D., P.a.

  • Family Medicine Physician
  • Altamonte Springs, FL
  • NPI 1609181528
  NPD (past)
• James J. Macool, MD, PA

  • Non-Pharmacy Dispensing Site
  • Altamonte Springs, FL
  • NPI 1205193752
  NPD (past)

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1255629010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 N PARK AVE # 187",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327123634",
            "telephone_number": "407-814-4934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N PARK AVE",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327123634",
            "telephone_number": "407-814-4934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DATTANI",
        "first_name": "RACHANA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-14",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9108301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHANA",
            "last_name": "VASAIWALA",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Physician Assistant in Apopka, FL
• Providers in Apopka, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; 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.