Yogendra B Patel,MD,Inc

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

A40908 Issued in CA

Legal business name

YOGENDRA B PATEL,MD,INC

Practice address

12980 Frederick St
Suite J
Moreno Valley, CA 92553-5263

Phone

(951) 924-9300

Fax

(951) 485-0240

NPI assigned

Nov 21, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Rosie Lara

Title

Secretary

Phone

(951) 924-9300

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yogendra B Patel, MD

  • Gastroenterology Physician
  • Moreno Valley, CA
  • NPI 1386706240
  Medicare reassignment NPD
• Cristina Ibarra, NP

  • Family Nurse Practitioner
  • Riverside, CA
  • NPI 1053719385
  NPD (past)

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

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321833600000",
    "number": "1053688945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12980 FREDERICK ST",
            "address_2": "SUITE J",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925535263",
            "telephone_number": "951-924-9300",
            "fax_number": "951-485-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12980 FREDERICK ST",
            "address_2": "SUITE J",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925535263",
            "telephone_number": "951-924-9300",
            "fax_number": "951-485-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOGENDRA B PATEL,MD,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-21",
        "last_updated": "2011-11-21",
        "status": "A",
        "authorized_official_last_name": "LARA",
        "authorized_official_first_name": "ROSIE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "951-924-9300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A40908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL EXISTING NPI",
            "identifier": "1386706240",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A409080",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Shawn Yeh, DO
• Alice C Yen, DO
• Elizabeth Yentz
• Sarah Anne Yeung
• Mengya Yin
• Shannon Yoo, DO
• Seongro Aaron Yoon, DDS
• Stanisha York, LPCC
• Vincent-Arthur Aruiza Yoro-Bacay, MD
• Young Sik Lim, DDS, Inc

• Gastroenterology Physician in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.