Active NPI
Swati Pathak, M.D.
- Internal Medicine Physician
- Manteca, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- C160212
- Practice address
- 165 Saint Dominics Dr Ste 201
Manteca, CA 95337-7802 - Phone
- (209) 823-2347
- Fax
- (209) 823-1408
- NPI assigned
- Apr 15, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 269843 | NY | |
| Internal Medicine Physician | 207R00000X | C160212 | CA | Primary |
Addresses
Primary practice location
165 Saint Dominics Dr Ste 201
Manteca, CA 95337-7802
Mailing address
10470 Old Placerville Rd Ste 100
Sacramento, CA 95827-2539
Phone (800) 470-0071
Other practice location 1
234 E 149th St
Bronx, NY 10451-5504
Phone (718) 579-5000 ext. 5580
Other names 1
- Dr. Swati Pathak
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2800 L St
Sacramento, CA 95816-5616
3612 Dale Rd
Modesto, CA 95356-0500
Phone (209) 522-0146
815 Court St
Jackson, CA 95642-2154
Hospital & facility affiliations
- Sutter Care at Home
- Careone Home Health and Hospice, Inc
- Memorial Medical Center
- Sutter Tracy Community Hospital
- Doctors Hospital of Manteca
- Sutter Amador Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C160212 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Internal Medicine | Current | Accepting new patients |
| Sutter Valley Medical Foundation | Internal Medicine | Current | Accepting new patients |
| Sutter Tracy Community Hospital | Past | Accepting new patients | |
| New York City Health and Hospitals Corporation | Internal Medicine | Past | Accepting new patients |
| Sutter North Medical Foundation | Past | Accepting new patients |
Locations
815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900
1026 Lifestyle St
Manteca, CA 95337
Phone (209) 823-2345
165 Saint Dominics Dr
Ste 201
Manteca, CA 95337
Phone (209) 239-0120
10470 Old Placerville Rd
Ste 100
Sacramento, CA 95827
2750 Gateway Oaks Dr
Ste 150
Sacramento, CA 95833
Phone (916) 887-7398
2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850
Interoperability endpoints
- spathak369980@hisp.ehr.sutterhealth.org
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Modesto, CA
- NPI 1669846986
Internal Medicine
-
- Durable Medical Equipment & Medical Supplies
- Tracy, CA
- NPI 1720930712
-
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1952327256
Internal Medicine
-
- Ambulatory Surgical Clinic/Center
- Yuba City, CA
- NPI 1144251521
-
- General Acute Care Hospital
- Tracy, CA
- NPI 1043291164
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1427063270
Internal Medicine
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Salida, CA
- NPI 1972809838
-
- General Acute Care Hospital
- Manteca, CA
- NPI 1992736599
-
- General Acute Care Hospital
- Jackson, CA
- NPI 1447494323
-
- General Acute Care Hospital
- Modesto, CA
- NPI 1699129601
-
- General Acute Care Hospital
- Tracy, CA
- NPI 1821442864
-
- Home Health Agency
- Salida, CA
- NPI 1972876506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549584000000",
"number": "1033409644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10470 OLD PLACERVILLE RD STE 100",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958272539",
"telephone_number": "800-470-0071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 SAINT DOMINICS DR STE 201",
"city": "MANTECA",
"state": "CA",
"postal_code": "953377802",
"telephone_number": "209-823-2347",
"fax_number": "209-823-1408"
}
],
"practiceLocations": [
{
"address_1": "234 E 149th St",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104515504",
"country_code": "US",
"telephone_number": "718-579-5000 x5580",
"fax_number": "718-579-6532",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATHAK",
"first_name": "SWATI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-15",
"last_updated": "2019-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NY",
"license": "269843",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "C160212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SWATI",
"last_name": "PATHAK",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Manteca, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.