Individual provider Active NPI

Vinod D Patel, M.D.

  • Internal Medicine Physician
  • Downey, CA
National Provider Identifier
1043226756
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
56460 Issued in CA
Practice address
11480 Brookshire Ave
Suite #204
Downey, CA 90241-5026
Phone
(562) 862-2775
Fax
(562) 904-8095
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A56460 CA
Internal Medicine Physician 207R00000X 56460 CA Primary

Addresses

Primary practice location

11480 Brookshire Ave
Suite #204
Downey, CA 90241-5026

Mailing address

75 Remittance Dr Dept 6008
Chicago, IL 60675-6008
Phone (562) 282-1419

Other identifiers 2

IdentifierTypeStateIssuer
00A564600OtherCABLUE SHIELD
00A564600MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051209000769 CA Practitioner - Internal Medicine 4284655853 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A56460CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Medical Group Inc. CurrentSince Nov 1, 2004 Accepting new patients
Bright Medical Associates, Inc. Past Accepting new patients
Westshore Primary Care Assoc., Inc. Internal Medicine Past Accepting new patients

Locations

10234 Rosecrans Ave
Bellflower, CA 90706
Phone (562) 920-1632

17777 Center Court Dr N
Ste 400
Cerritos, CA 90703
Phone (562) 229-9452

11500 Brookshire Ave
Downey, CA 90241
Phone (562) 904-5000

11480 Brookshire Ave
Downey, CA 90241
Phone (562) 862-0804

11480 Brookshire Ave
Ste 204
Downey, CA 90241
Phone (562) 862-2775

12214 Lakewood Blvd
Ste 110
Downey, CA 90242
Phone (562) 862-2775

12214 Lakewood Blvd
Downey, CA 90242
Phone (562) 904-4430

2220 Clark Ave
Long Beach, CA 90815
Phone (562) 597-4181

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468800000000",
    "number": "1043226756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 REMITTANCE DR DEPT 6008",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606756008",
            "telephone_number": "562-282-1419",
            "fax_number": "562-920-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11480 BROOKSHIRE AVE",
            "address_2": "SUITE #204",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902415026",
            "telephone_number": "562-862-2775",
            "fax_number": "562-904-8095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "VINOD",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2016-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A56460",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "56460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A564600",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A564600",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

Verify at the official NPI Registry.