Ketan Patel, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

14435 Issued in CA

Practice address

18291 Imperial Hwy
Yorba Linda, CA 92886-3408

Phone

(714) 777-1770

NPI assigned

Jul 16, 2012

Last updated

Jul 16, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kevin Patel Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Old Towne Optometry, Inc.

  • Optometrist
  • Yorba Linda, CA
  • NPI 1154812378
  NPD
• Kimberly Shih O.D., Inc

  dba Rowland Optometry

  • Optometrist
  • Rowland Heights, CA
  • NPI 1851431878
  NPD (past)

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342396800000",
    "number": "1255686218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2385 SUDDABY",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927821280",
            "telephone_number": "714-573-0839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18291 IMPERIAL HWY",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928863408",
            "telephone_number": "714-777-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KETAN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-16",
        "last_updated": "2012-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEVIN",
            "last_name": "PATEL",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Pary Iniguez Dental Corporation (Masterpiece Dental)
• Mario Pary, DMD
• Kory B. Dylan Pasko, MD
• Anita N. Patel, R.PH.
• Jigar Patel, MD
• Khushbu Patel, DMD
• Neha Patel, D.C.
• Sanjay K Patel, RPH
• Shital Patel, FNP
• Smitesh Nagin Patel, D.D.S.

• Optometrist in Yorba Linda, CA
• Providers in Yorba Linda, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; 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.