MR. LARRY RACASA ANGEL PA-C NPI 1154708881

NPI Information

NPI: 1154708881
Provider Name: MR. LARRY RACASA ANGEL, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
3400 E. 2ND ST.
CAREONSITE, HEALTH SERVICES
BENICIA, CA
ZIP 94510
Phone: (707) 745-7571
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MR. Larry Racasa Angel, PA-C is a medical physician assistant in Benicia, CA. MR. Larry Racasa Angel, PA-C NPI is 1154708881. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3400 E. 2ND ST.
CAREONSITE, HEALTH SERVICES
BENICIA, CA
ZIP 94510
Phone: (707) 745-7571
Fax: (707) 745-7903

The enumeration date for this NPI number is 5/1/2015 and was last updated on 11/8/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA15911	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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