Nirav Patel M D a Professional Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A95184 Issued in CA

Legal business name

NIRAV PATEL M D A PROFESSIONAL CORPORATION

Practice address

657 Camino de Los Mares
Suite 241
San Clemente, CA 92673-2811

Phone

(949) 429-1358

Fax

(949) 429-1845

NPI assigned

Jun 11, 2008

Organization subpart

No

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

Authorized official

Name

Nirav Mohanlal Patel, M.D.

Title

President

Phone

(949) 429-1358

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238544000000",
    "number": "1225298573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 CAMINO DE LOS MARES",
            "address_2": "SUITE 241",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732811",
            "telephone_number": "949-429-1358",
            "fax_number": "949-429-1845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 CAMINO DE LOS MARES",
            "address_2": "SUITE 241",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732811",
            "telephone_number": "949-429-1358",
            "fax_number": "949-429-1845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIRAV PATEL M D A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-11",
        "last_updated": "2009-04-01",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NIRAV",
        "authorized_official_middle_name": "MOHANLAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-429-1358",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A95184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; 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.