Organization Active NPI

Nilesh Patel D O Inc

  • Anesthesiology Physician
  • Redondo Beach, CA
National Provider Identifier
1275967648
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
20A9454 Issued in CA
Legal business name
NILESH PATEL D O INC
Practice address
514 N Prospect Ave Ste 100
Redondo Beach, CA 90277-3036
Phone
(310) 376-2707
NPI assigned
Aug 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Authorized official

Name
Nilesh Patel, DO
Title
Owner
Phone
(707) 319-0518

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 20A9454 CA Primary

Addresses

Primary practice location

514 N Prospect Ave Ste 100
Redondo Beach, CA 90277-3036

Mailing address

28031 Via de Costa
San Juan Capistrano, CA 92675-5377
Phone (714) 347-1010

National Provider Directory

National Provider Directory

Locations

450 N Roxbury Dr
Beverly Hills, CA 90210
Phone (310) 246-4628

NPI Registry JSON

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1275967648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28031 VIA DE COSTA",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926755377",
            "telephone_number": "714-347-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 N PROSPECT AVE STE 100",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773036",
            "telephone_number": "310-376-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NILESH PATEL D O INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-21",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-27",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NILESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-319-0518",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "20A9454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.