Provider Demographics
NPI:1396850962
Name:PALEKER, RAKHI BHATIA (PA-C)
Entity Type:Individual
Prefix:MS
First Name:RAKHI
Middle Name:BHATIA
Last Name:PALEKER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25982 PALA STE 120
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-6724
Mailing Address - Country:US
Mailing Address - Phone:949-900-2393
Mailing Address - Fax:949-900-2394
Practice Address - Street 1:25982 PALA STE 120
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-6724
Practice Address - Country:US
Practice Address - Phone:949-900-2393
Practice Address - Fax:949-900-2394
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA16720363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPA16720Medicaid
CAWPA16720AMedicare ID - Type Unspecified