Reena R Patel MD Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A109224 Issued in CA

Legal business name

REENA R PATEL MD INC

Practice address

1108 Fremont Ave
South Pasadena, CA 91030-3227

Phone

(626) 765-7852

Fax

(626) 606-3952

NPI assigned

May 22, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Reena R Patel, MDNPI 1194958256

Title

Family Medicine/Owner

Phone

(909) 991-5072

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Reena R Patel, M.D.

  • Family Medicine Physician
  • Monrovia, CA
  • NPI 1194958256
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400716800000",
    "number": "1063824183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 W EL MOLINO ST",
            "city": "BLOOMINGTON",
            "state": "CA",
            "postal_code": "923162151",
            "telephone_number": "909-991-5072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 FREMONT AVE",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910303227",
            "telephone_number": "626-765-7852",
            "fax_number": "626-606-3952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REENA R PATEL MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-22",
        "last_updated": "2014-05-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "REENA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "FAMILY MEDICINE/OWNER",
        "authorized_official_telephone_number": "909-991-5072",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A109224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raven-L Inc.
• Jean Keiko Ravenelle, RPT
• Marilyn Margaret Mary Raygoza
• Joanna Razo, LMFT
• Donna Denise Reed, MA
• Francisco Arturo Reinosa Segovia, PHD
• Maydely Remigio
• Robert Renteria
• Res2020 Inc (A Better Solution in Home Care Pasadena)
• Cynthia Reston-Parham

• Family Medicine Physician in South Pasadena, CA
• Providers in South Pasadena, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; 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.