Individual provider Active NPI

Rajender Singh Dabas, P.A.-C

  • Physician Assistant
  • Hawthorne, CA
National Provider Identifier
1891949681
Registry record updated Nov 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA20052 Issued in CA
Practice address
4477 W 118TH St
Suite 303
Hawthorne, CA 90250-2255
Phone
(310) 644-9515
Fax
(310) 644-3629
NPI assigned
Nov 6, 2008
Last updated
Nov 6, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2008

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 PA20052 CA Primary

Addresses

Primary practice location

4477 W 118TH St
Suite 303
Hawthorne, CA 90250-2255

Mailing address

4477 W 118TH Street
Suite 303
Hawthorne, CA 90250-2258
Phone (310) 644-9515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20090430000276 CA Practitioner - Physician Assistant 0648328617 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20052CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Health Medical Group, Inc. Past Accepting new patients
Southern California Physicians Alliance Inc Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225929600000",
    "number": "1891949681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4477 W 118TH STREET",
            "address_2": "SUITE 303",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902502258",
            "telephone_number": "310-644-9515",
            "fax_number": "310-644-3629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4477 W 118TH ST",
            "address_2": "SUITE 303",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902502255",
            "telephone_number": "310-644-9515",
            "fax_number": "310-644-3629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABAS",
        "first_name": "RAJENDER",
        "middle_name": "SINGH",
        "name_prefix": "Mr.",
        "credential": "P.A.-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-06",
        "last_updated": "2008-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA20052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, CA

Sources for this page

Verify at the official NPI Registry.