Active NPI
Daniella A Patterson-Macho, PA-C
- Physician Assistant
- Riverside, CA
National Provider Identifier
1679728190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA 20089
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PA 20089 | CA | MD | Physician Assistant |
| 20089 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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.
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- Anaheim, CA
- NPI 1316249188
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.