Active NPI
Hiren Patel
- Medical Physician Assistant
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA64181
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 64181 | CA | MD | General Practice Dentistry |
| PA64181 | CA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles Drew University of Medicine & Science | Current | Accepting new patients | |
| MGM Physician Assistant Inc | Current | Accepting new patients | |
| Elemental Living Inc | Current | Accepting new patients | |
| Michael F Sedrak MD a Medical Corporation | Current | 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.