Individual provider Active NPI

Hiren Patel

  • Medical Physician Assistant
  • Los Angeles, CA
National Provider Identifier
1073229746
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA64181 Issued in CA
Practice address
1731 E 120TH St
Los Angeles, CA 90059-3051
Phone
(323) 563-4800
NPI assigned
Jan 26, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X
Medical Physician Assistant 363AM0700X PA64181 CA Primary

Addresses

Primary practice location

1731 E 120TH St
Los Angeles, CA 90059-3051

Mailing address

123 Walkers Bluff Rd
Boiling Springs, SC 29316-6156

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240328002896 CA Practitioner - Physician Assistant 0941647739 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Michael F Sedrak MD a Medical CorporationGroup PAC ID 1658681994, 5 clinicians

Practice addresses (Care Compare)

1902 Fullerton Ave
Suite 101
Corona, CA 92881-3112
Phone (310) 728-0494

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
64181CAMDGeneral Practice Dentistry
PA64181CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Charles Drew University of Medicine & Science CurrentSince Jan 29, 2023 Accepting new patients
MGM Physician Assistant Inc CurrentSince Dec 1, 2025 Accepting new patients
Elemental Living Inc CurrentSince Sep 26, 2025 Accepting new patients
Michael F Sedrak MD a Medical Corporation CurrentSince Aug 4, 2025 Accepting new patients
Ac and CS Past Accepting new patients

Locations

1902 Fullerton Ave
Ste 101
Corona, CA 92881
Phone (310) 728-0494

1731 E 120th St
Los Angeles, CA 90059
Phone (323) 563-4800

1525 3rd St
Ste 205
Riverside, CA 92507
Phone (310) 619-7370

301 Almeria Ave
Ste 240
Coral Gables, FL 33134
Phone (239) 842-6320

Organizations & group practices 9

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": "1674691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1073229746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 WALKERS BLUFF RD",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "293166156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 E 120TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900593051",
            "telephone_number": "323-563-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "HIREN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-26",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA64181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.