Active NPI
Rushang S Patel, D.D.S.
- Dentist
- San Francisco, CA
National Provider Identifier
1285041830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 63650
- Practice address
- 2055 Sacramento St Apt 202
San Francisco, CA 94109-3320 - Phone
- (408) 768-6665
- NPI assigned
- Jul 15, 2014
- Reactivated
- Apr 20, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 63650 | CA | Primary |
Addresses
Primary practice location
2055 Sacramento St Apt 202
San Francisco, CA 94109-3320
Mailing address
2055 Sacramento St Apt 202
San Francisco, CA 94109-3320
Phone (408) 768-6665
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150916000666 | CA | Order and Referring Only - Dentist | 8729395215 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618876800000",
"number": "1285041830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2055 SACRAMENTO ST APT 202",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941093320",
"telephone_number": "408-768-6665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2055 SACRAMENTO ST APT 202",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941093320",
"telephone_number": "408-768-6665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "RUSHANG",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-15",
"last_updated": "2021-04-20",
"certification_date": "2021-04-20",
"deactivation_date": "2021-02-12",
"reactivation_date": "2021-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "63650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.