Jay Patel, M.D., Inc.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G44230 Issued in CA

Legal business name

JAY PATEL, M.D., INC.

Practice address

2001 Santa Monica Blvd
Suite 985W
Santa Monica, CA 90404-2102

Phone

(310) 828-5555

Fax

(310) 829-1720

NPI assigned

Oct 5, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Maya Kanti Patel

Title

Administrative Assistance

Phone

(310) 828-5888

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jay Patel, M.D. or Jayantkumar Patel, M.D. Other name

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316563200000",
    "number": "1114013133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD",
            "address_2": "SUITE 985W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042102",
            "telephone_number": "310-828-5555",
            "fax_number": "310-829-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD",
            "address_2": "SUITE 985W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042102",
            "telephone_number": "310-828-5555",
            "fax_number": "310-829-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY PATEL, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2011-09-21",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MAYA",
        "authorized_official_middle_name": "KANTI",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANCE",
        "authorized_official_telephone_number": "310-828-5888",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G44230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "G44230",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jay Patel, M.D. or Jayantkumar Patel, M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Monica Jedlinski, NP
• Paul Leon Jefferson
• Jeffrey L. Sebastian, M D, Inc
• Charles C Jeng, DDS

• Ophthalmology Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; 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.