Individual provider Active NPI

Parth Patel, PT

  • Physical Therapist
  • Newport Beach, CA
National Provider Identifier
1194086595
Registry record updated Dec 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
38468 Issued in CA
Practice address
360 San Miguel Dr Ste 301
Newport Beach, CA 92660-7820
Phone
(949) 759-0300
Fax
(949) 759-9164
NPI assigned
Jun 1, 2012
Last updated
Dec 5, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 38468 CA Primary

Addresses

Primary practice location

360 San Miguel Dr Ste 301
Newport Beach, CA 92660-7820

Mailing address

360 San Miguel Dr Ste 301
Newport Beach, CA 92660-7820
Phone (949) 759-0300

Other practice location 1

1002 Calloway Dr
Bakersfield, CA 93312-6337
Phone (661) 588-4286

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

Practice roles

OrganizationSpecialtyStatusNew patients
Optimum Medical Clinics Inc CurrentSince Jun 1, 2018 Accepting new patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Jul 7, 2022 Accepting new patients
Mesisca Physical Therapy Inc Physical Therapist CurrentSince Aug 14, 2017 Accepting new patients
JM Physical Therapy Inc Physical Therapist Past Accepting new patients

Locations

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108

20072 SW Birch St
Ste 100
Newport Beach, CA 92660
Phone (657) 235-9355

460 Old Newport Blvd
Newport Beach, CA 92663
Phone (949) 287-6880

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1338508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1194086595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 SAN MIGUEL DR STE 301",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607820",
            "telephone_number": "949-759-0300",
            "fax_number": "949-759-9164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 SAN MIGUEL DR STE 301",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607820",
            "telephone_number": "949-759-0300",
            "fax_number": "949-759-9164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1002 Calloway Dr",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933126337",
            "country_code": "US",
            "telephone_number": "661-588-4286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PARTH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-01",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "38468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; 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.