Individual provider Active NPI

Mauliben Patel, P.A

  • Medical Physician Assistant
  • Zion, IL
National Provider Identifier
1184889404
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
085.003187 Issued in IL
Practice address
2606 Elisha Ave
Zion, IL 60099-2608
Phone
(847) 872-4558
Fax
(847) 872-2042
NPI assigned
Jul 25, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 085.003187 IL Primary

Addresses

Primary practice location

2606 Elisha Ave
Zion, IL 60099-2608

Mailing address

2606 Elisha Ave
Zion, IL 60099-2608
Phone (847) 872-4558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20181115001775 CA Practitioner - Physician Assistant 7810049020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unicare Community Health Center, Inc.Group PAC ID 8426369067, 64 clinicians

Practice addresses (Care Compare)

184 E Highland Ave
San Bernardino, CA 92404-3658
Phone (909) 882-4788

190 E Highland Ave
San Bernardino, CA 92404-3658
Phone (909) 882-4788

741 S Alvarado St
Los Angeles, CA 90057-4021
Phone (213) 413-6666

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
085.003187ILMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Unicare Community Health Center Inc CurrentSince Aug 25, 2018 Accepting new patients
Unicare Community Health Center, Inc. CurrentSince Aug 25, 2018 Accepting new patients

Locations

437 N Euclid Ave
Ontario, CA 91762
Phone (909) 749-1835

1501 E Holt Ave
Ste A
Pomona, CA 91767
Phone (909) 623-3600

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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": "1216944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216944000000",
    "number": "1184889404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 ELISHA AVE",
            "city": "ZION",
            "state": "IL",
            "postal_code": "600992608",
            "telephone_number": "847-872-4558",
            "fax_number": "847-872-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 ELISHA AVE",
            "city": "ZION",
            "state": "IL",
            "postal_code": "600992608",
            "telephone_number": "847-872-4558",
            "fax_number": "847-872-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MAULIBEN",
        "name_prefix": "Ms.",
        "credential": "P.A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-25",
        "last_updated": "2008-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085.003187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zion, IL

Sources for this page

Verify at the official NPI Registry.