Purnima K Patel, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A32125 Issued in CA

Practice address

36243 Inland Valley Drive
Suite 160
Wildomar, CA 92595-9548

Phone

(951) 698-8821

Fax

(951) 677-3975

NPI assigned

Jun 22, 2006

Last updated

Sep 26, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Purnima K Patel M.D Inc

  • Internal Medicine Physician
  • Wildomar, CA
  • NPI 1578965901
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222387200000",
    "number": "1023054269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36243 INLAND VALLEY DRIVE",
            "address_2": "SUITE 160",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925959548",
            "telephone_number": "951-698-8821",
            "fax_number": "951-677-3975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36243 INLAND VALLEY DRIVE",
            "address_2": "SUITE 160",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925959548",
            "telephone_number": "951-698-8821",
            "fax_number": "951-677-3975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PURNIMA",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2008-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A32125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE  PROVIDER ID",
            "identifier": "00A321250",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A321250",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tawanna Parker
• Breanna Parra
• Samantha Partida
• Manoj Patel
• Priyanka Hemant Patel, M.D.
• Reenaben Patel, MD
• Breanna Pauley
• Crystal Payne
• Peak Speech & Language Therapy, Inc
• Bridget Peck

• Internal Medicine Physician in Wildomar, CA
• Providers in Wildomar, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.