Organization Active NPI

Nilesh N. Patel MD Inc

  • Infectious Disease Physician
  • Glendora, CA
National Provider Identifier
1114512498
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
NILESH N. PATEL MD INC
Practice address
130 W Route 66 Ste 302
Glendora, CA 91740-6252
Phone
(626) 914-1514
Fax
(626) 914-1505
NPI assigned
Mar 8, 2021
Last updated
Mar 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Authorized official

Name
Dr. Nilesh N Patel, MDNPI 1508858903
Title
MD
Phone
(626) 914-1514

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
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X Primary

Addresses

Primary practice location

130 W Route 66 Ste 302
Glendora, CA 91740-6252

Mailing address

216 S Citrus St Ste 393
West Covina, CA 91791-2144
Phone (626) 914-1514

Other names 1

  • Nilesh N Patel MD Inc Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210422003061 CA Part B Supplier - Clinic/Group Practice 1355759796 Receives reassigned benefits from 4 practitioners
Practice locations: Glendora, CA; Ontario, CA; Rancho Cucamonga, CA

National Provider Directory

National Provider Directory

Locations

216 S Citrus St
West Covina, CA 91791
Phone (626) 348-4239

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615161600000",
    "number": "1114512498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 S CITRUS ST STE 393",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917912144",
            "telephone_number": "626-914-1514",
            "fax_number": "626-914-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W ROUTE 66 STE 302",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917406252",
            "telephone_number": "626-914-1514",
            "fax_number": "626-914-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NILESH N. PATEL MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NILESH",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "626-914-1514",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nilesh N Patel MD Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Glendora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.