Active NPI
PRC Associates LLC
- Pain Medicine Physician
- Port Orange, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- Legal business name
- PRC ASSOCIATES LLC
- Practice address
- 1165 Dunlawton Ave Ste 101
Port Orange, FL 32127-2924 - Phone
- (386) 760-0815
- Fax
- (386) 767-7890
- NPI assigned
- Jul 2, 2010
- Last updated
- May 4, 2026
- 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, MD
- Title
- Owner
- Phone
- (386) 274-2977
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | Primary |
Addresses
Primary practice location
1165 Dunlawton Ave Ste 101
Port Orange, FL 32127-2924
Mailing address
1671 N Clyde Morris Blvd Ste 100
Daytona Beach, FL 32117-5590
Phone (386) 274-2977
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 |
|---|---|---|---|
| 10D2005902 | PRC Associates LLC | Certificate of waiver | Feb 17, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Physician
- Daytona Beach, FL
- NPI 1932153228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777852800000",
"number": "1902118201",
"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": "1165 DUNLAWTON AVE STE 101",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321272924",
"telephone_number": "386-760-0815",
"fax_number": "386-767-7890"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRC ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-02",
"last_updated": "2026-05-04",
"certification_date": "2026-05-04",
"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": "MD"
},
"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 Port Orange, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.