Active NPI
Rima Gunvantrai Patel, PA-C
- Physician Assistant
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 54272
- Practice address
- 1818 E Sky Harbor Cir N Ste 150
Phoenix, AZ 85034-3410 - Phone
- (602) 256-5950
- NPI assigned
- Jun 1, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA405 | ME | |
| Physician Assistant | 363A00000X | PA-TF-0179 | MA | |
| Physician Assistant | 363A00000X | 54272 | CA | Primary |
| Surgical Physician Assistant | 363AS0400X | 25MP00236700 | NJ | |
| Physician Assistant | 363A00000X | PA9111002 | FL | |
| Physician Assistant | 363A00000X | 4782 | AZ | |
| Physician Assistant | 363A00000X | LT20089 | ME | |
| Physician Assistant | 363A00000X | 25MP00236700 | NJ | |
| Physician Assistant | 363A00000X | 11076 | MN | |
| Medical Physician Assistant | 363AM0700X | 25MP00236700 | NJ | |
| Physician Assistant | 363A00000X | EL04722 | NH |
Addresses
Primary practice location
1818 E Sky Harbor Cir N Ste 150
Phoenix, AZ 85034-3410
Mailing address
13660 S Jog Rd Ste 1B
Delray Beach, FL 33446-3806
Other practice location 1
13660 S Jog Rd Ste 1B
Delray Beach, FL 33446-3806
Phone (561) 202-1255
Other practice location 2
5451 La Palma Ave Ste 43
LA Palma, CA 90623-1732
Phone (714) 523-0000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54272 | CA | MD | Dentist |
| 4782 | AZ | MD | Physician Assistant |
| PA9111002 | FL | MD | Physician Assistant |
| PA-TF-0179 | MA | MD | Physician Assistant |
| LT20089 | ME | MD | Physician Assistant |
| EL04722 | NH | MD | Physician Assistant |
| 25MP00236700 | NJ | MD | Physician Assistant |
| 11076 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Greater Phoenix Collaborative Care PC | Current | Accepting new patients | |
| Open Door Community Health Centers | Current | Accepting new patients | |
| Family Health Centers of San Diego, Inc. | Current | Accepting new patients | |
| Open Door Community Health Centers | Current | Accepting new patients | |
| Carbon Health Medical Group of California PC | Current | Accepting new patients | |
| Phoenix Heart, PLLC | Past | Accepting new patients | |
| Acacia Internal Medicine | Past | Accepting new patients |
Locations
20040 N 19th Ave
Ste A
Phoenix, AZ 85027
Phone (623) 869-5000
5830 N 19th Ave
Phoenix, AZ 85015
Phone (602) 249-0115
1275 8th St
Arcata, CA 95521
11971 Central Ave
Ste B
Chino, CA 91710
Phone (909) 310-1488
3955 Bedford Canyon Rd
Unit 103
Corona, CA 92883
Phone (951) 293-4722
823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323
Interoperability endpoints
- rima.patel.p1@direct.cdsdp.nextgenshare.com
- chiler@dbfm.ssdirect.aprima.com
- https://api.platform.athenahealth.com/24502/brand/1/csg/1/fhir/r4
Organizations & group practices 11
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.
-
- Clinic/Center
- Phoenix, AZ
- NPI 1750686614
-
- Urgent Care Clinic/Center
- Berkeley, CA
- NPI 1417294232
-
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1447281936
-
- Federally Qualified Health Center (FQHC)
- Crescent City, CA
- NPI 1497840656
-
- Urgent Care Clinic/Center
- Pasadena, CA
- NPI 1255957205
-
- Federally Qualified Health Center (FQHC)
- Escondido, CA
- NPI 1356178180
-
- Federally Qualified Health Center (FQHC)
- El Cajon, CA
- NPI 1932561198
-
- Federally Qualified Health Center (FQHC)
- Willow Creek, CA
- NPI 1730330739
-
- Federally Qualified Health Center (FQHC)
- Eureka, CA
- NPI 1831713452
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1013937895
-
- Cardiac Rehabilitation Registered Nurse
- Glendale, AZ
- NPI 1578396982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773619200000",
"number": "1134448152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13660 S JOG RD STE 1B",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334463806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1818 E SKY HARBOR CIR N STE 150",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850343410",
"telephone_number": "602-256-5950"
}
],
"practiceLocations": [
{
"address_1": "13660 S Jog Rd Ste 1B",
"address_purpose": "LOCATION",
"city": "Delray Beach",
"state": "FL",
"postal_code": "334463806",
"country_code": "US",
"telephone_number": "561-202-1255",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5451 La Palma Ave Ste 43",
"address_purpose": "LOCATION",
"city": "LA Palma",
"state": "CA",
"postal_code": "906231732",
"country_code": "US",
"telephone_number": "714-523-0000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "RIMA",
"middle_name": "GUNVANTRAI",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-01",
"last_updated": "2026-03-16",
"certification_date": "2026-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ME",
"license": "PA405",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "PA-TF-0179",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "54272",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NJ",
"license": "25MP00236700",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9111002",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "4782",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ME",
"license": "LT20089",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00236700",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "11076",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NJ",
"license": "25MP00236700",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NH",
"license": "EL04722",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; 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.