Individual provider Active NPI

Rushang S Patel, D.D.S.

  • Dentist
  • San Francisco, CA
National Provider Identifier
1285041830
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
63650 Issued in CA
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

Updated by the provider on Apr 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150916000666 CA Order and Referring Only - DentistPractitioner - 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

Verify at the official NPI Registry.