Organization Active NPI

Sonya S Patel DO, Inc

  • Clinic/Center
  • Los Gatos, CA
National Provider Identifier
1235449364
Registry record updated Oct 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
2OA8045 Issued in CA
Legal business name
SONYA S PATEL DO, INC
Practice address
777 Knowles Dr Ste 15
Los Gatos, CA 95032-1417
Phone
(510) 846-2103
Fax
(408) 374-0703
NPI assigned
Oct 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2010

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

Authorized official

Name
Dr. Sonya Sheth Patel, D.O.NPI 1659360139
Title
Neurologist
Phone
(510) 846-2103

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 2OA8045 CA Primary

Addresses

Primary practice location

777 Knowles Dr Ste 15
Los Gatos, CA 95032-1417

Mailing address

777 Knowles Dr Ste 15
Los Gatos, CA 95032-1417
Phone (510) 846-2103

Other identifiers 2

IdentifierTypeStateIssuer
002A80450OtherCAMEDICARE ID
00AX80450MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101026001547 CA Part B Supplier - Clinic/Group Practice 7315131018 Receives reassigned benefits from 1 practitioner
Practice locations: Los Gatos, CA

National Provider Directory

National Provider Directory

Locations

777 Knowles Dr
Ste 15
Los Gatos, CA 95032
Phone (408) 358-7460

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286409600000",
    "number": "1235449364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 KNOWLES DR STE 15",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321417",
            "telephone_number": "510-846-2103",
            "fax_number": "408-374-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 KNOWLES DR STE 15",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321417",
            "telephone_number": "510-846-2103",
            "fax_number": "408-374-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONYA S PATEL DO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-07",
        "last_updated": "2010-10-07",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SONYA",
        "authorized_official_middle_name": "SHETH",
        "authorized_official_title_or_position": "NEUROLOGIST",
        "authorized_official_telephone_number": "510-846-2103",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "2OA8045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "002A80450",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX80450",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.