Active NPI
PRC Associates LLC
- Pain Medicine Physician
- Palm Coast, FL
National Provider Identifier
1831228816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- Legal business name
- PRC ASSOCIATES LLC
- Practice address
- 21 Hospital Dr
Suite 120
Palm Coast, FL 32164-2452 - Phone
- (386) 586-2280
- Fax
- (386) 586-2281
- NPI assigned
- Mar 5, 2007
- 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
- Dr. Sanjay Bakshi, M.D.
- Title
- Owner
- Phone
- (386) 274-2977
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | Primary |
Addresses
Primary practice location
21 Hospital Dr
Suite 120
Palm Coast, FL 32164-2452
Mailing address
1671 N Clyde Morris Blvd
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
-
- Interventional Pain Medicine Physician
- Daytona Beach, FL
- NPI 1508260134
O20040129000002
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1086879 | PRC Associates LLC | Certificate of waiver | Feb 17, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759881600000",
"number": "1831228816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1671 N CLYDE MORRIS BLVD",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321175590",
"telephone_number": "386-274-2977",
"fax_number": "386-317-5164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 HOSPITAL DR",
"address_2": "SUITE 120",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321642452",
"telephone_number": "386-586-2280",
"fax_number": "386-586-2281"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRC ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-05",
"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_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Coast, FL
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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.