Eshani Gautam Patel, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

64187 Issued in CA

Practice address

270 W 14TH St
San Pedro, CA 90731-4396

Phone

(310) 519-8723

NPI assigned

Sep 25, 2023

Last updated

May 27, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1063291508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 W 14TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907314396",
            "telephone_number": "310-519-8723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 W 14TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907314396",
            "telephone_number": "310-519-8723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ESHANI",
        "middle_name": "GAUTAM",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-25",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "64187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Won Sur Park, D.D.S.
• Bryan O'Neal Parker, BA, MPA
• Parthenon Therapy Services, Inc.
• Lori Lynn Pastorino
• Anand S Patel, M.D.
• Jyoti Patel
• Zubin Patel
• Melinda Lynn Patino, LMT
• Vienna Monique Patricio, CDC
• Lena Inez Paulos

• Physician Assistant in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; 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.