Individual provider Active NPI

Marc C Raciti, PA-C

  • Physician Assistant
  • Gilbert, AZ
National Provider Identifier
1295799674
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2451 E Baseline Rd Ste 430
Gilbert, AZ 85234-2473
Phone
(602) 313-4391
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

2451 E Baseline Rd Ste 430
Gilbert, AZ 85234-2473

Mailing address

8315 E San Bernardo Dr
Scottsdale, AZ 85258-2430
Phone (808) 457-5807

Other practice location 1

8160 E Butherus Dr Ste 5
Scottsdale, AZ 85260-2523
Phone (808) 457-5807

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140508001044 AZ Practitioner - Physician Assistant 0446483952 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery Chiropractic Past Accepting new patients
Center for Orthopedic Research and Education, LLC Physician Assistant Past Accepting new patients
Laser Spine Institute of Arizona, LLC Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1295799674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8315 E SAN BERNARDO DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852582430",
            "telephone_number": "808-457-5807",
            "fax_number": "602-867-9853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 E BASELINE RD STE 430",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342473",
            "telephone_number": "602-313-4391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8160 E Butherus Dr Ste 5",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852602523",
            "country_code": "US",
            "telephone_number": "808-457-5807",
            "fax_number": "480-383-6825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RACITI",
        "first_name": "MARC",
        "middle_name": "C",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.