Individual provider Active NPI

Hemantkumar V Patel

  • General Practice Dentistry
  • Upland, CA
National Provider Identifier
1255537155
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
29647 Issued in CA
Practice address
615 N Benson Ave Ste F
Upland, CA 91786-5076
Phone
(909) 949-4070
Fax
(909) 949-3005
NPI assigned
Jun 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 29647 CA Primary

Addresses

Primary practice location

615 N Benson Ave Ste F
Upland, CA 91786-5076

Mailing address

615 N Benson Ave Ste F
Upland, CA 91786-5076
Phone (909) 949-4070

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200117001904 CA Practitioner - DentistPractitioner - Oral Surgery 0446685531 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29647CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Valley Health Center CurrentSince Jul 1, 2024 Accepting new patients
Golden Valley Health Centers CurrentSince Jul 1, 2024 Accepting new patients
Golden Valley Health Centers Current Accepting new patients
Kevin Y Kim DDS Inc General Practice CurrentSince Sep 12, 2021 Accepting new patients
Dana Point Smiles General Practice Current Accepting new patients
Katyuska Paredes Lopez DDS Apc General Practice PastSince Nov 1, 2024 Accepting new patients

Locations

1910 Customer Care Way
Atwater, CA 95301
Phone (209) 384-6488

1405 California Ave
Dos Palos, CA 93620
Phone (209) 392-2111

13161 Jefferson St
Le Grand, CA 95333
Phone (209) 389-1900

821 Texas Ave
Los Banos, CA 93635
Phone (209) 385-5481

250 Northgate Dr
Manteca, CA 95336
Phone (209) 239-5299

797 W Childs Ave
Merced, CA 95341
Phone (209) 383-5871

847 W Childs Ave
Merced, CA 95341
Phone (209) 383-7441

3940 Sandpiper Ave
Merced, CA 95340
Phone (209) 381-4104

2101 Tenaya Dr
Modesto, CA 95354
Phone (209) 576-6766

1500 Florida Ave
Modesto, CA 95350
Phone (209) 571-5071

1121 Hammond St
Modesto, CA 95351
Phone (209) 576-4437

1114 6th St
Modesto, CA 95354
Phone (209) 576-2845

637 Merced St
Newman, CA 95360
Phone (209) 862-0270

982 Hamner Ave
Norco, CA 92860
Phone (951) 736-8120

200 C St
Patterson, CA 95363
Phone (209) 892-6307

9235 E Broadway St
Planada, CA 95365
Phone (209) 382-0253

4150 Patterson Rd
Riverbank, CA 95367
Phone (209) 863-3900

1200 W Main St
Turlock, CA 95380
Phone (209) 668-5388

Interoperability endpoints

  • Direct secure messaging: hemantkumar.pateldds.p1@direct.csvs.nextgenshare.com
  • Direct secure messaging: hemant.patel.p1@direct.cdsdp.nextgenshare.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1255537155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 N BENSON AVE STE F",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865076",
            "telephone_number": "909-949-4070",
            "fax_number": "909-949-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N BENSON AVE STE F",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865076",
            "telephone_number": "909-949-4070",
            "fax_number": "909-949-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "HEMANTKUMAR",
        "middle_name": "V",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-26",
        "last_updated": "2025-03-03",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "29647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

Verify at the official NPI Registry.