Basic Information
Provider Information | |||||||||
NPI: | 1861835076 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | DELFANTI | ||||||||
FirstName: | RACHEL | ||||||||
MiddleName: | LAUREN | ||||||||
NamePrefix: | DR. | ||||||||
NameSuffix: |   | ||||||||
Credential: | MD | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: | SCHWARTZ | ||||||||
OtherFirstName: | RACHEL | ||||||||
OtherMiddleName: | LAUREN | ||||||||
OtherNamePrefix: | MISS | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: | MD | ||||||||
OtherLastNameType: | 1 | ||||||||
Mailing Information | |||||||||
Address1: | 1160 D PITTSFORD-VICTOR RD. | ||||||||
Address2: | 2ND FLOOR, RADNET | ||||||||
City: | PITTSFORD | ||||||||
State: | NY | ||||||||
PostalCode: | 145343825 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 5852188005 | ||||||||
FaxNumber: |   | ||||||||
Practice Location | |||||||||
Address1: | 415 ROLLING OAKS DR. | ||||||||
Address2: | SUITE 125 AND 230 | ||||||||
City: | THOUSAND OAKS | ||||||||
State: | CA | ||||||||
PostalCode: | 913611038 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 8057781513 | ||||||||
FaxNumber: |   | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 04/08/2013 | ||||||||
LastUpdateDate: | 09/13/2019 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | F | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085R0202X | A134179 | CA | Y |   | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology |
No ID Information.