Active NPI
Hemantkumar V Patel
- General Practice Dentistry
- Upland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 29647
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29647 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden Valley Health Center | Current | Accepting new patients | |
| Golden Valley Health Centers | Current | Accepting new patients | |
| Golden Valley Health Centers | Current | Accepting new patients | |
| Kevin Y Kim DDS Inc | General Practice | Current | Accepting new patients |
| Dana Point Smiles | General Practice | Current | Accepting new patients |
| Katyuska Paredes Lopez DDS Apc | General Practice | Past | 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
- hemantkumar.pateldds.p1@direct.csvs.nextgenshare.com
- 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.
-
- Federally Qualified Health Center (FQHC)
- Turlock, CA
- NPI 1356445753
-
- General Practice Dentistry
- Dana Point, CA
- NPI 1912306721
-
- Federally Qualified Health Center (FQHC)
- Modesto, CA
- NPI 1205683224
-
- Community/Retail Pharmacy
- Merced, CA
- NPI 1093817405
-
- General Practice Dentistry
- Norco, CA
- NPI 1144999822
-
- General Practice Dentistry
- Moreno Valley, CA
- NPI 1275033151
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.