Active NPI
Dayaljibhai D. Patel, M.D.
- Pediatrics Physician
- Casa Grande, AZ
National Provider Identifier
1013932912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 34184
- Practice address
- 1856 E. Florence Blvd.
Sun Life Center for Children
Casa Grande, AZ 85122 - Phone
- (520) 836-5036
- Fax
- (520) 316-0365
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 34184 | AZ | Primary |
Addresses
Primary practice location
1856 E. Florence Blvd.
Sun Life Center for Children
Casa Grande, AZ 85122
Mailing address
P.O. Box 10097, 865 N Arizola
Sun Life Family Health Center
Casa Grande, AZ 85122
Phone (520) 836-3446
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 948581 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sun Life Family Health Center, Inc. | Past | Accepting new patients | |
| Sun Life Family Health Center, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Eloy, AZ
- NPI 1588876429
-
- Federally Qualified Health Center (FQHC)
- Florence, AZ
- NPI 1902278252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1013932912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 10097, 865 N ARIZOLA",
"address_2": "SUN LIFE FAMILY HEALTH CENTER",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "85122",
"telephone_number": "520-836-3446",
"fax_number": "520-836-8807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1856 E. FLORENCE BLVD.",
"address_2": "SUN LIFE CENTER FOR CHILDREN",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "85122",
"telephone_number": "520-836-5036",
"fax_number": "520-316-0365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "DAYALJIBHAI",
"middle_name": "D.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "34184",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "948581",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Casa Grande, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.