Organization Active NPI

New Socal Medical Group Professional Corporation

  • Neurology Physician
  • Hemet, CA
National Provider Identifier
1144071887
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NEW SOCAL MEDICAL GROUP PROFESSIONAL CORPORATION
Practice address
371 N San Jacinto St Ste a
Hemet, CA 92543-3105
Phone
(469) 277-2184
NPI assigned
Mar 29, 2024
Last updated
Sep 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Authorized official

Name
Darshan Patel, MDNPI 1518172535
Title
Co Owner
Phone
(951) 540-6610

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU
Neurology Physician 2084N0400X NU Primary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X NU

Addresses

Primary practice location

371 N San Jacinto St Ste a
Hemet, CA 92543-3105

Mailing address

15972 Tuscola Rd Ste 101
Apple Valley, CA 92307-2106

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240523000633 CA Part B Supplier - Clinic/Group Practice 4789026659 Receives reassigned benefits from 2 practitioners
Practice locations: Hemet, CA; La Quinta, CA

National Provider Directory

National Provider Directory

Locations

371 N San Jacinto St
Hemet, CA 92543

371 N San Jacinto St
Ste A
Hemet, CA 92543
Phone (951) 540-6610

9170 Haven Ave
Ste 102
Rch Cucamonga, CA 91730
Phone (909) 440-1014

Practitioners & affiliated clinicians

Practitioners 2

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": "1711670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1144071887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15972 TUSCOLA RD STE 101",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 N SAN JACINTO ST STE A",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925433105",
            "telephone_number": "469-277-2184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW SOCAL MEDICAL GROUP PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-29",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "DARSHAN",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "951-540-6610",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.