Individual provider Active NPI

Reenaben Patel, MD

  • Internal Medicine Physician
  • Wildomar, CA
National Provider Identifier
1285049221
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A174004 Issued in CA
Practice address
36320 Inland Valley Dr Ste 308
Wildomar, CA 92595-7512
Phone
(951) 696-5837
Fax
(951) 226-0171
NPI assigned
Jun 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A174004 CA Primary

Addresses

Primary practice location

36320 Inland Valley Dr Ste 308
Wildomar, CA 92595-7512

Mailing address

23850 Via Alisol
Murrieta, CA 92562-3479
Phone (347) 453-7183

Other identifiers 1

IdentifierTypeStateIssuer
A174004OtherCAMEDICAL BOARD OF CALIFORNIA

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
I20220909001489 CA Practitioner - Internal Medicine 0648548701 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Acute Care Associates of California PCGroup PAC ID 2668812215, 55 clinicians

Practice addresses (Care Compare)

36320 Inland Valley Dr
Suite 308
Wildomar, CA 92595-7512
Phone (951) 696-5837

36485 Inland Valley Dr
Wildomar, CA 92595-9681
Phone (951) 677-1111

Hospital & facility affiliations

  • Southwest Healthcare Rancho Springs Hospital Hospital, Murrieta, CA, CCN 050701
  • Loma Linda University Medical Center-Murrieta Hospital, Murrieta, CA, CCN 050770

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A174004CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reenaben Patel MD a Professional Medical Corporation Internal Medicine CurrentSince Apr 23, 2025 Accepting new patients
Acute Care Associates of California PC Internal Medicine CurrentSince May 8, 2025 Accepting new patients

Locations

25500 Medical Center Dr
Murrieta, CA 92562
Phone (951) 696-6000

36485 Inland Valley Dr
Wildomar, CA 92595
Phone (909) 677-9778

36320 Inland Valley Dr
Ste 308
Wildomar, CA 92595
Phone (951) 600-7630

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: reenaben.patel.p74@direct.kmsm.nextgenshare.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HEBIDD/Endpoint/HEBIDD

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1403913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1285049221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23850 VIA ALISOL",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925623479",
            "telephone_number": "347-453-7183",
            "fax_number": "951-226-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36320 INLAND VALLEY DR STE 308",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925957512",
            "telephone_number": "951-696-5837",
            "fax_number": "951-226-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "REENABEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-28",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A174004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD OF CALIFORNIA",
            "identifier": "A174004",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wildomar, CA

Sources for this page

Verify at the official NPI Registry.