Active NPI
PRC Associates, LLC
- Interventional Pain Medicine Physician
- Daytona Beach, FL
National Provider Identifier
1508260134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- PRC ASSOCIATES, LLC
- Practice address
- 1671 N Clyde Morris Blvd Ste 100
Daytona Beach, FL 32117-5590 - Phone
- (386) 274-2977
- Fax
- (386) 274-2997
- NPI assigned
- Oct 10, 2014
- 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
- Sanjay Bakshi, M.D.
- Title
- Owner
- Phone
- (386) 274-2977
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | |||
| Interventional Pain Medicine Physician | 208VP0014X | Primary |
Addresses
Primary practice location
1671 N Clyde Morris Blvd Ste 100
Daytona Beach, FL 32117-5590
Mailing address
1671 N Clyde Morris Blvd Ste 100
Daytona Beach, FL 32117-5590
Phone (386) 274-2977
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040129000002 | FL | Part B Supplier - Clinic/Group Practice | 5890698708 |
Receives reassigned benefits from 22 practitioners 6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Daytona Beach, FL; Port Orange, FL; Palm Coast, FL; Ormond Beach, FL; Orange City, FL; New Smyrna Beach, FL; Lake Mary, FL; Deland, FL |
Other NPIs on the same Medicare enrollment 6
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Interventional Pain Medicine Physician
- Lake Mary, FL
- NPI 1154705770
O20040129000002
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759881600000",
"number": "1508260134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1671 N CLYDE MORRIS BLVD STE 100",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321175590",
"telephone_number": "386-274-2977",
"fax_number": "386-274-2997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1671 N CLYDE MORRIS BLVD STE 100",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321175590",
"telephone_number": "386-274-2977",
"fax_number": "386-274-2997"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRC ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-10",
"last_updated": "2025-10-08",
"certification_date": "2025-10-08",
"status": "A",
"authorized_official_last_name": "BAKSHI",
"authorized_official_first_name": "SANJAY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "386-274-2977",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Daytona Beach, FL
- Daniel E. Powers, PMHNP-BC
- Heather Lynn Powers
- John Prairie, MD
- Rekha Prasad, MD
- PRC Associates LLC
- Preferred Radiology Alliance, PLLC
- Premier Allergist of Florida LLC (Allervie Health)
- Premier Infectious Disease Consultants LLC
- Prescribed Pediatric Extended Care, Inc
- Prescribed Pediatric Extended Care, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.