Individual provider Active NPI

Panna Patel

  • Occupational Therapist
  • Irvine, CA
National Provider Identifier
1093105504
Registry record updated Feb 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
14974 Issued in CA
Practice address
114 Borrego
Irvine, CA 92618-8887
Phone
(949) 375-8058
NPI assigned
Feb 4, 2015
Last updated
Feb 4, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 14974 CA Primary

Addresses

Primary practice location

114 Borrego
Irvine, CA 92618-8887

Mailing address

114 Borrego
Irvine, CA 92618-8887
Phone (949) 375-8058

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181015003088 CA Practitioner - Occupational Therapist in Private Practice 3375895659 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laguna Beach Rehab IncGroup PAC ID 4688686538, 14 clinicians

Practice addresses (Care Compare)

31852 Coast Hwy
Suite 303
Laguna Beach, CA 92651-6766
Phone (949) 499-9559

Merit-based Incentive Payment System (MIPS)

Final score
92.23 of 100Reported as group
Quality
99.26
Improvement activities
40
Cost
75.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14974CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Laguna Beach Rehab, Inc. Occupational Therapist CurrentSince Jan 1, 2025 Accepting new patients
California Rehabilitation & Sports Therapy a California Physical Ther CurrentSince Aug 12, 2018 Accepting new patients
California Rehab & Sports Therapy CurrentSince Aug 12, 2018 Accepting new patients
Laguna Beach Rehab Inc PastSince Jul 24, 2022 Accepting new patients

Locations

505 N Euclid St
Ste 680
Anaheim, CA 92801
Phone (714) 780-0010

36 Mauchly
Ste A
Irvine, CA 92618
Phone (949) 374-3315

31852 Coast Hwy
Ste 303
Laguna Beach, CA 92651
Phone (949) 499-3085

1441 Avocado Ave
Ste 307
Newport Beach, CA 92660
Phone (858) 247-2933

200 Newport Center Dr
Ste 213
Newport Beach, CA 92660
Phone (949) 644-0316

Interoperability endpoints

  • Direct secure messaging: panna.patel.p29@direct.newportmed.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423008000000",
    "number": "1093105504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 BORREGO",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926188887",
            "telephone_number": "949-375-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 BORREGO",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926188887",
            "telephone_number": "949-375-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-04",
        "last_updated": "2015-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "14974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.