Active NPI
Dipak C Patel, O.D.
- Optometrist
- West Covina, CA
National Provider Identifier
1225237142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9333 TPA
- Practice address
- 2036 Plaza Dr
West Covina, CA 91790-2842 - Phone
- (626) 960-5537
- Fax
- (626) 960-5357
- NPI assigned
- Jul 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 9333 TPA | CA | Primary |
Addresses
Primary practice location
2036 Plaza Dr
West Covina, CA 91790-2842
Mailing address
2036 Plaza Dr
West Covina, CA 91790-2842
Phone (626) 960-5537
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140929001515 | CA | Order and Referring Only - Optometry | 8022245455 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9333 TPA | CA | MD | Optometrist |
| 9333 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Puente Hills Optometry Inc. | Optometrist | 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.
-
- Optometrist
- West Covina, CA
- NPI 1124468236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184112000000",
"number": "1225237142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2036 PLAZA DR",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917902842",
"telephone_number": "626-960-5537",
"fax_number": "626-960-5357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2036 PLAZA DR",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917902842",
"telephone_number": "626-960-5537",
"fax_number": "626-960-5357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "DIPAK",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-11",
"last_updated": "2007-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "9333 TPA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.