Individual provider Active NPI

Pranay Patel, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Manhattan Beach, CA
National Provider Identifier
1134477565
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
A147993 Issued in CA
Practice address
1200 Rosecrans Ave Ste 105
Manhattan Beach, CA 90266-2470
Phone
(310) 403-5778
Fax
(855) 898-4055
NPI assigned
Aug 15, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A147993 CA
Orthopaedic Surgery of the Spine Physician 207XS0117X A147993 CA Primary

Addresses

Primary practice location

1200 Rosecrans Ave Ste 105
Manhattan Beach, CA 90266-2470

Mailing address

PO Box 3129
Torrance, CA 90510-3129
Phone (310) 792-3914

Other practice location 1

1520 San Pablo St Ste 2000
Los Angeles, CA 90033-5322
Phone (323) 442-5860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170721000597 CA Practitioner - Orthopedic SurgeryPractitioner - Other (Physician) 3476855107 Reassigns benefits to 3 organizations
I20220412002082 NJ Practitioner - Orthopedic Surgery 3476855107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Southern Illinois University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prestige Pain Centers PCGroup PAC ID 1557635430, 4 clinicians

Practice addresses (Care Compare)

125 Washington Ave
Carteret, NJ 07008-2635
Phone (732) 306-2879

1813 Oak Tree Rd
Edison, NJ 08820-2795
Phone (732) 306-2879

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A147993CAMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prestige Pain Centers PC CurrentSince Jan 21, 2022 Accepting new patients
Reekeshrpatelmd Inc CurrentSince Aug 1, 2020 Accepting new patients
Patel Spine Care Medical Inc Orthopaedic Surgery CurrentSince May 15, 2020 Accepting new patients
J. W. Duncan MD a Medical Corporation Orthopaedic Surgery CurrentSince Dec 1, 2019 Accepting new patients
Ocean Spine PLLC Orthopaedic Surgery of the Spine Current Accepting new patients
Pih Health Downey Hospital PastSince Apr 1, 2020 Accepting new patients
Sky Anesthesia Inc. PastSince Sep 1, 2019 Accepting new patients

Locations

9808 Venice Blvd
Ste 603
Culver City, CA 90232
Phone (310) 204-4565

5363 Balboa Blvd
Ste 433
Encino, CA 91316
Phone (818) 343-4430

4477 W 118th St
Ste 501
Hawthorne, CA 90250
Phone (310) 679-9999

4477 W 118th St
Ste 500
Hawthorne, CA 90250
Phone (310) 970-9255

1720 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 260-5781

1828 E Cesar E Chavez Ave
Ste 6300
Los Angeles, CA 90033
Phone (323) 267-0222

1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555

1200 Rosecrans Ave
Ste 110
Manhattan Beach, CA 90266
Phone (424) 220-4400

1200 Rosecrans Ave
Ste 105
Manhattan Beach, CA 90266
Phone (310) 403-5778

400 S Sepulveda Blvd
Ste 200
Manhattan Beach, CA 90266
Phone (310) 546-3461

1231 Cabrillo Ave
Ste 201A
Torrance, CA 90501
Phone (310) 295-0033

23600 Telo Ave
Ste 180
Torrance, CA 90505
Phone (310) 257-1500

3330 Lomita Blvd
Torrance, CA 90505
Phone (310) 517-4675

125 Washington Ave
Carteret, NJ 07008
Phone (201) 687-1208

1813 Oak Tree Rd
Edison, NJ 08820
Phone (732) 548-5955

Organizations & group practices 7

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": "1344988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1134477565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3129",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905103129",
            "telephone_number": "310-792-3914",
            "fax_number": "855-898-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 ROSECRANS AVE STE 105",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662470",
            "telephone_number": "310-403-5778",
            "fax_number": "855-898-4055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 San Pablo St Ste 2000",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900335322",
            "country_code": "US",
            "telephone_number": "323-442-5860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRANAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-15",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A147993",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CA",
            "license": "A147993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan Beach, CA

Sources for this page

Verify at the official NPI Registry.