Individual provider Active NPI

Parin Patel, M.D.

  • Surgery Physician
  • Fountain Valley, CA
National Provider Identifier
1275780207
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A104549 Issued in CA
Practice address
18111 Brookhurst St
Fountain Valley, CA 92708-6728
Phone
(714) 732-9199
Fax
(714) 845-0084
NPI assigned
Aug 21, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD-14822 HI
Surgery Physician 208600000X A104549 CA Primary

Addresses

Primary practice location

18111 Brookhurst St
Fountain Valley, CA 92708-6728

Mailing address

PO Box 129
Laguna Beach, CA 92652-0129
Phone (714) 732-9199

Other identifiers 1

IdentifierTypeStateIssuer
A104549OtherCALIC

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091116000283 CA Practitioner - General Surgery 4486792249 Reassigns benefits to 2 organizations
Practice locations: Fountain Valley, CA; Laguna Hills, CA; Orange, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A104549CAMDSurgery Physician
MD-14822HIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Infusion and Clinical Services, Inc. Surgery Current Accepting new patients
Infusion and Clinical Services, Inc CurrentSince Oct 1, 2024 Accepting new patients
North Pacific Cardiology Medical CurrentSince Feb 13, 2023 Accepting new patients
Infusion and Clinical Services,Inc CurrentSince Oct 1, 2024 Accepting new patients

Locations

3800 Janes Rd
Arcata, CA 95521
Phone (707) 822-3621

901 Olive Dr
Bakersfield, CA 93308
Phone (661) 215-7500

5400 Aldrin Ct
Bakersfield, CA 93313
Phone (661) 735-8867

5401 White Ln
Bakersfield, CA 93309
Phone (661) 396-7100

Organizations & group practices 4

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": "1219276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1275780207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 129",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926520129",
            "telephone_number": "714-732-9199",
            "fax_number": "714-845-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18111 BROOKHURST ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086728",
            "telephone_number": "714-732-9199",
            "fax_number": "714-845-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PARIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-21",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "HI",
            "license": "MD-14822",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A104549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC",
            "identifier": "A104549",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.