=====================================================
General NPI Number Information
=====================================================
NPI Number | 1922046085
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RAC & ASSOCIATES, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/02/2006
-----------------------------------------------------
Last Update Date | 01/02/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9541 RIDGEHAVEN CT
-----------------------------------------------------
City | SAN DIEGO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92123-1624
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 858-694-5800
-----------------------------------------------------
Fax | 858-751-0204
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9541 RIDGEHAVEN CT
-----------------------------------------------------
City | SAN DIEGO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92123-1624
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 858-694-5800
-----------------------------------------------------
Fax | 760-407-8293
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MS. TERRY JANE RACCIATO
-----------------------------------------------------
Credential | RN
-----------------------------------------------------
Telephone | 858-694-5800
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number | 45003
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------