Individual provider Active NPI

Rima Gunvantrai Patel, PA-C

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1134448152
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
54272 Issued in CA
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

Updated by the provider on Mar 16, 2026

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
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, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110215000331 AZ Practitioner - Physician Assistant 4183804776 Reassigns benefits to 1 organization
I20170712002436 CA Practitioner - Physician Assistant 4183804776 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
54272CAMDDentist
4782AZMDPhysician Assistant
PA9111002FLMDPhysician Assistant
PA-TF-0179MAMDPhysician Assistant
LT20089MEMDPhysician Assistant
EL04722NHMDPhysician Assistant
25MP00236700NJMDPhysician Assistant
11076MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Centers of San Diego, Inc CurrentSince Apr 13, 2021 Accepting new patients
Greater Phoenix Collaborative Care PC CurrentSince Feb 11, 2019 Accepting new patients
Open Door Community Health Centers CurrentSince May 27, 2017 Accepting new patients
Family Health Centers of San Diego, Inc. CurrentSince Apr 13, 2021 Accepting new patients
Open Door Community Health Centers CurrentSince May 27, 2017 Accepting new patients
Carbon Health Medical Group of California PC CurrentSince Jun 6, 2024 Accepting new patients
Phoenix Heart, PLLC Past Accepting new patients
Acacia Internal Medicine PastSince Nov 1, 1999 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

  • Direct secure messaging: rima.patel.p1@direct.cdsdp.nextgenshare.com
  • Direct secure messaging: chiler@dbfm.ssdirect.aprima.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.