Devesh N Patel,MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A89330 Issued in CA

Legal business name

DEVESH N PATEL,MD

Practice address

130 W Route 66
Suite 302
Glendora, CA 91740-6249

Phone

(626) 914-1514

Fax

(626) 914-1505

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Devesh N Patel, MDNPI 1407840697

Title

Internist

Phone

(626) 914-1514

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Devesh N Patel, MD

  • Infectious Disease Physician
  • West Covina, CA
  • NPI 1407840697

  Single Specialty

  NPD (past) Authorized official

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073644100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2694 E GARVEY AVE S",
            "address_2": "# 395",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917912113",
            "telephone_number": "626-914-1514",
            "fax_number": "626-914-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W ROUTE 66",
            "address_2": "SUITE 302",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917406249",
            "telephone_number": "626-914-1514",
            "fax_number": "626-914-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVESH N PATEL,MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "DEVESH",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "INTERNIST",
        "authorized_official_telephone_number": "626-914-1514",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A89330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "00A893300",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Glendora, CA
• Providers in Glendora, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.