Individual provider Active NPI

Raffie Villanueva Dacasin, BSN, MSN, APRN, NP-C

  • Family Nurse Practitioner
  • Elk Grove, CA
National Provider Identifier
1962089763
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95016944 Issued in CA
Practice address
9890 Cape Verde Dr
Elk Grove, CA 95757-6329
Phone
(661) 932-8129
NPI assigned
Mar 26, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95016944 CA Primary

Addresses

Primary practice location

9890 Cape Verde Dr
Elk Grove, CA 95757-6329

Mailing address

9890 Cape Verde Dr
Elk Grove, CA 95757-6329
Phone (661) 932-8129

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
I20250326003612 CA Practitioner - Nurse Practitioner 5193248540 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ming-Wei Wu IncGroup PAC ID 4284726159, 38 clinicians

Practice addresses (Care Compare)

135 S State College Blvd
Suite 200
Brea, CA 92821-5805
Phone 88843488806

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95016944CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Wound Specialists PC CurrentSince Feb 22, 2025 Accepting new patients
Ming-Wei Wu, Inc CurrentSince Dec 1, 2024 Accepting new patients

Locations

135 S State College Blvd
Ste 200
Brea, CA 92821
Phone (626) 283-5852

3191 W Temple Ave
Ste 110
Pomona, CA 91768

3750 S Jones Blvd
Ste 120
Las Vegas, NV 89103
Phone (702) 291-8828

Organizations & group practices 2

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": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1962089763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9890 CAPE VERDE DR",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957576329",
            "telephone_number": "661-932-8129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9890 CAPE VERDE DR",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957576329",
            "telephone_number": "661-932-8129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DACASIN",
        "first_name": "RAFFIE",
        "middle_name": "VILLANUEVA",
        "name_prefix": "Mr.",
        "credential": "BSN, MSN, APRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-26",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95016944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

Verify at the official NPI Registry.