Organization Active NPI

Sejal M Patel MD Inc a Medical Corporation

  • Surgery Physician
  • Irvine, CA
National Provider Identifier
1275818122
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A104427 Issued in CA
Legal business name
SEJAL M PATEL MD INC A MEDICAL CORPORATION
Practice address
17900 Von Karman Ave
Ste 150
Irvine, CA 92614-4296
Phone
(424) 652-8801
Fax
(310) 362-0319
NPI assigned
Oct 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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

Authorized official

Name
Dr. Sejal M Patel, M.D.
Title
Owner
Phone
(424) 652-8801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X A104427 CA Primary

Addresses

Primary practice location

17900 Von Karman Ave
Ste 150
Irvine, CA 92614-4296

Mailing address

541 S Spring
Ste 1201
Los Angeles, CA 90013-1667
Phone (424) 652-8801

National Provider Directory

National Provider Directory

Locations

17900 Von Karman Ave
Ste 150
Irvine, CA 92614
Phone (424) 652-8801

NPI Registry JSON

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318291200000",
    "number": "1275818122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 S SPRING",
            "address_2": "STE 1201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900131667",
            "telephone_number": "424-652-8801",
            "fax_number": "310-362-0319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17900 VON KARMAN AVE",
            "address_2": "STE 150",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926144296",
            "telephone_number": "424-652-8801",
            "fax_number": "310-362-0319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEJAL M PATEL MD INC A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-11",
        "last_updated": "2011-10-11",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SEJAL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "424-652-8801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A104427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; 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.