Active NPI
Ajay Patel, MD a Professional Medical Corporation
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Downey, CA
National Provider Identifier
1235593567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- A120793
- Legal business name
- AJAY PATEL, MD A PROFESSIONAL MEDICAL CORPORATION
- Practice address
- 10441 Lakewood Blvd Ste E
Downey, CA 90241-2744 - Phone
- (562) 869-3585
- Fax
- (562) 869-3590
- NPI assigned
- Apr 13, 2016
- Last updated
- Jul 1, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ajay Patel, MD
- Title
- Ceo
- Phone
- (909) 969-0513
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | A120793 | CA | Primary |
Addresses
Primary practice location
10441 Lakewood Blvd Ste E
Downey, CA 90241-2744
Mailing address
11525 Brookshire Ave
Suite 402
Downey, CA 90241-4985
Phone (562) 869-3585
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
10441 Lakewood Blvd
Ste E
Downey, CA 90241
Phone (562) 869-3585
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Downey, CA
- NPI 1962636522
-
- Anesthesiology Physician
- West Hollywood, CA
- NPI 1356960942
-
- Interventional Pain Medicine Physician
- Alhambra, CA
- NPI 1457694887
-
- Physician Assistant
- Anaheim, CA
- NPI 1013507300
-
- Rheumatology Physician
- Whittier, CA
- NPI 1659837250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460505600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1593561600000",
"number": "1235593567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11525 BROOKSHIRE AVE",
"address_2": "SUITE 402",
"city": "DOWNEY",
"state": "CA",
"postal_code": "902414985",
"telephone_number": "562-869-3585",
"fax_number": "562-869-3590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10441 LAKEWOOD BLVD STE E",
"city": "DOWNEY",
"state": "CA",
"postal_code": "902412744",
"telephone_number": "562-869-3585",
"fax_number": "562-869-3590"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AJAY PATEL, MD A PROFESSIONAL MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-13",
"last_updated": "2020-07-01",
"certification_date": "2020-07-01",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "AJAY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "909-969-0513",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "CA",
"license": "A120793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Downey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; 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.