Active NPI
Tushar Pratap Patel, M.D.
- Nuclear Medicine Physician
- Fountain Valley, CA
National Provider Identifier
1093884538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Medicine Physician
- License
- A71957
- Practice address
- 17150 Euclid St
Suite 101
Fountain Valley, CA 92708-4092 - Phone
- (714) 957-0317
- Fax
- (714) 957-0616
- NPI assigned
- Nov 7, 2006
- 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 |
|---|---|---|---|---|
| Nuclear Medicine Physician | 207U00000X | A71957 | CA | Primary |
| Diagnostic Radiology Physician | 2085R0202X | A71957 | CA |
Addresses
Primary practice location
17150 Euclid St
Suite 101
Fountain Valley, CA 92708-4092
Mailing address
17150 Euclid St
Suite 101
Fountain Valley, CA 92708-4092
Phone (714) 957-0317
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050825000559 | CA | Practitioner - Diagnostic Radiology | 5092746495 | Practice locations: Fountain Valley, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A71957 | CA | MD | Nuclear Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inland Empire Imaging | Current | Accepting new patients | |
| Orange County Diagnostic Radiology, Inc. | Current | Accepting new patients | |
| Reliant Radiology Medical Group a Professional Corporation | Diagnostic Radiology | Past | Accepting new patients |
| South Bay Anesthesia Medical Group Inc. | Past | Accepting new patients | |
| Pacific Coast Cardiology Medical Group | Nuclear Medicine | Past | Accepting new patients |
Locations
260 E Ontario Ave
Ste 101A
Corona, CA 92879
Phone (951) 284-1920
17150 Euclid St
Ste 101
Fountain Vly, CA 92708
Phone (714) 957-0317
Organizations & group practices 5
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.
-
- Physiological Laboratory
- Corona, CA
- NPI 1295141950
-
- Specialist
- Fountain Valley, CA
- NPI 1720016728
-
- Cardiovascular Disease Physician
- Newport Beach, CA
- NPI 1245284843
Nuclear Medicine
-
- Diagnostic Radiology Physician
- Visalia, CA
- NPI 1790850238
-
- Anesthesiology Physician
- Torrance, CA
- NPI 1073531836
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1093884538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17150 EUCLID ST",
"address_2": "SUITE 101",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927084092",
"telephone_number": "714-957-0317",
"fax_number": "714-957-0616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17150 EUCLID ST",
"address_2": "SUITE 101",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927084092",
"telephone_number": "714-957-0317",
"fax_number": "714-957-0616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "TUSHAR",
"middle_name": "PRATAP",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "CA",
"license": "A71957",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A71957",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.