Healthcare Provider Details

I. General information

NPI: 1609739523
Provider Name (Legal Business Name): RACHITA NAVARA MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1850 SULLIVAN AVE STE 520
DALY CITY CA
94015-2204
US

IV. Provider business mailing address

PO BOX 771
MANTECA CA
95336-1133
US

V. Phone/Fax

Practice location:
  • Phone: 415-413-7225
  • Fax: 678-737-1718
Mailing address:
  • Phone: 415-413-7225
  • Fax: 678-737-1718

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number
License Number State

VIII. Authorized Official

Name: RACHITA NEHA PALLAVI NAVARA
Title or Position: MEDICAL DIRECTOR
Credential: MD, FACC, FHRS
Phone: 415-413-7225