Active NPI
Dipali Patel
- Pharmacist
- Los Angeles, CA
National Provider Identifier
1285903385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 58165
- Practice address
- 1302 S la Brea Ave
Los Angeles, CA 90019-3060 - Phone
- (323) 761-6468
- NPI assigned
- Dec 19, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 58165 | CA | Primary |
Addresses
Primary practice location
1302 S la Brea Ave
Los Angeles, CA 90019-3060
Mailing address
99 Skyline Dr
Burbank, CA 91501-1129
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58165 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pharmacy
- Winston Salem, NC
- NPI 1699797258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617062400000",
"number": "1285903385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 SKYLINE DR",
"city": "BURBANK",
"state": "CA",
"postal_code": "915011129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1302 S LA BREA AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900193060",
"telephone_number": "323-761-6468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "DIPALI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-19",
"last_updated": "2021-03-30",
"certification_date": "2021-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "58165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.