Individual provider Active NPI

Tushar Pratap Patel, M.D.

  • Nuclear Medicine Physician
  • Fountain Valley, CA
National Provider Identifier
1093884538
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine PhysicianTaxonomy code 207U00000X
License
A71957 Issued in CA
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

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
A71957CAMDNuclear Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inland Empire Imaging CurrentSince Sep 16, 2014 Accepting new patients
Orange County Diagnostic Radiology, Inc. CurrentSince Nov 10, 1984 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.

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

Verify at the official NPI Registry.