Active NPI
Dianand Rajigadoo
- PACE Provider Organization
- Minneola, FL
National Provider Identifier
1295025591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- PACE Provider Organization
- Legal business name
- DIANAND RAJIGADOO
- Practice address
- 1020 Chelsea Parc Dr
Minneola, FL 34715-8160 - Phone
- (352) 321-2705
- Fax
- (352) 394-4005
- NPI assigned
- Apr 8, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Dianand Rajigadoo
- Title
- Provider
- Phone
- (352) 321-2705
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| PACE Provider Organization | 251T00000X | FL | Primary |
Addresses
Primary practice location
1020 Chelsea Parc Dr
Minneola, FL 34715-8160
Mailing address
1020 Chelsea Parc Dr
Minneola, FL 34715-8160
Phone (352) 321-2705
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002552900 | Medicaid | FL |
Other names 1
- D Raj
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302220800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1302220800000",
"number": "1295025591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 CHELSEA PARC DR",
"city": "MINNEOLA",
"state": "FL",
"postal_code": "347158160",
"telephone_number": "352-321-2705",
"fax_number": "352-394-4005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 CHELSEA PARC DR",
"city": "MINNEOLA",
"state": "FL",
"postal_code": "347158160",
"telephone_number": "352-321-2705",
"fax_number": "352-394-4005"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIANAND RAJIGADOO",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-08",
"last_updated": "2011-04-08",
"status": "A",
"authorized_official_last_name": "RAJIGADOO",
"authorized_official_first_name": "DIANAND",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "352-321-2705",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251T00000X",
"taxonomy_group": "",
"desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002552900",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "D Raj",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Minneola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.