NPIMap

Organization Active NPI

Surendra Patel MD, LLC

  • Primary Care Clinic/Center
  • Fresno, CA
National Provider Identifier
1104116201
Registry record updated Mar 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A50956 Issued in CA
Legal business name
SURENDRA PATEL MD, LLC
Practice address
5680 N Fresno St
Suite 101
Fresno, CA 93710-8331
Phone
(559) 440-1110
Fax
(559) 440-1114
NPI assigned
Apr 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2013

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

Authorized official

Name
Surendra M Patel, M.D.NPI 1346203973
Title
Owner
Phone
(559) 440-1110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X A50956 CA Primary

Addresses

Primary practice location

5680 N Fresno St
Suite 101
Fresno, CA 93710-8331

Mailing address

5680 N Fresno St
Suite 101
Fresno, CA 93710-8331
Phone (559) 440-1110

Other identifiers 1

IdentifierTypeStateIssuer
00A509560MedicaidCA

Other names 1

  • Surendra Patel, MD Former legal business name

National Provider Directory

National Provider Directory

Locations

5680 N Fresno St
Ste 101
Fresno, CA 93710
Phone (559) 375-1325

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362355200000",
    "number": "1104116201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5680 N FRESNO ST",
            "address_2": "SUITE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937108331",
            "telephone_number": "559-440-1110",
            "fax_number": "559-440-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5680 N FRESNO ST",
            "address_2": "SUITE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937108331",
            "telephone_number": "559-440-1110",
            "fax_number": "559-440-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURENDRA PATEL MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-11",
        "last_updated": "2013-03-04",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SURENDRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-440-1110",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A50956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A509560",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surendra Patel, MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.