Active NPI
Arun Chandra Kant Patel, M.D.
- Retina Specialist (Ophthalmology) Physician
- Sacramento, CA
National Provider Identifier
1164531430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Retina Specialist (Ophthalmology) Physician
- License
- A42740
- Practice address
- 3939 J St
Suite 106
Sacramento, CA 95819-3631 - Phone
- (916) 454-6191
- Fax
- (916) 454-1036
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | A42740 | CA | |
| Ophthalmology Physician | 207W00000X | 6973 | NV | |
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | A42740 | CA | Primary |
Addresses
Primary practice location
3939 J St
Suite 106
Sacramento, CA 95819-3631
Mailing address
3939 J St
Suite 104
Sacramento, CA 95819-3631
Phone (916) 454-6191
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A427400 | Other | CA | BLUE SHIELD |
| 0199833 | Other | WA | DEPT. OF LABOR WASHINGTON |
| 00A427400 | Medicaid | CA | |
| 180009835 | Other | CA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6973 | NV | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern California Advanced Surgery Center LP | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Ambulatory Surgical Clinic/Center
- Sacramento, CA
- NPI 1710127774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491177600000",
"number": "1164531430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3939 J ST",
"address_2": "SUITE 104",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958193631",
"telephone_number": "916-454-6191",
"fax_number": "916-454-1036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3939 J ST",
"address_2": "SUITE 106",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958193631",
"telephone_number": "916-454-6191",
"fax_number": "916-454-1036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "ARUN",
"middle_name": "CHANDRA KANT",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2017-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "A42740",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NV",
"license": "6973",
"primary": false
},
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "CA",
"license": "A42740",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00A427400",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT. OF LABOR WASHINGTON",
"identifier": "0199833",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A427400",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "180009835",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.