Individual provider Active NPI

Daniella A Patterson-Macho, PA-C

  • Physician Assistant
  • Riverside, CA
National Provider Identifier
1679728190
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 20089 Issued in CA
Practice address
10683 Magnolia Ave Ste B
Riverside, CA 92505-1893
Phone
(951) 509-9000
Fax
(951) 506-0992
NPI assigned
Nov 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA 20089 CA Primary

Addresses

Primary practice location

10683 Magnolia Ave Ste B
Riverside, CA 92505-1893

Mailing address

1701 E Florida Ave
Hemet, CA 92544-4632
Phone (951) 658-4486

Other names 1

  • Dani Macho Other name

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
PA 20089CAMDPhysician Assistant
20089CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ralph a. Highshaw, M.D., Inc. Past Accepting new patients

Organizations & group practices 1

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": "1227571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483401600000",
    "number": "1679728190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 E FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925444632",
            "telephone_number": "951-658-4486",
            "fax_number": "951-925-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10683 MAGNOLIA AVE STE B",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925051893",
            "telephone_number": "951-509-9000",
            "fax_number": "951-506-0992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON-MACHO",
        "first_name": "DANIELLA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-25",
        "last_updated": "2017-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA 20089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANI",
            "last_name": "MACHO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; 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.