Ajita Patel, DOCTOR OF AYURVEDA

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

License

18367674 Issued in CA

Practice address

505 W 1St St
Tustin, CA 92780-3004

Phone

(949) 207-8725

NPI assigned

Jan 7, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1174163125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26524 AVENIDA VERONICA",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926913331",
            "telephone_number": "949-207-8725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 W 1ST ST",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803004",
            "telephone_number": "949-207-8725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "AJITA",
        "name_prefix": "Dr.",
        "credential": "DOCTOR OF AYURVEDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-07",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "CA",
            "license": "18367674",
            "primary": false
        },
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "CA",
            "license": "18367674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ajita@awakensanctury.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "505 W 1st St",
            "city": "Tustin",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927803004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joseph Pascal
• Mary Pasdar, RNP
• Marjan Pashaei Jamalpour, SLPA
• Reginald Dwight Espinoza Pastores, DMD
• Aesha Patel, NP-C
• Ashka Kothari Patel
• Disha M Patel
• Nileshkumar Kantilal Patel, DDS
• Payal Patel, DDS
• Priya B Patel, PA-C

• Other Specialist/Technologist in Tustin, CA
• Providers in Tustin, CA by specialty
• Other Specialist/Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.