Active NPI
Praful Patel
- Pharmacist
- Cerritos, CA
National Provider Identifier
1285948729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 42442
- Practice address
- 19914 Horst Ave
Cerritos, CA 90703-7611 - Phone
- (562) 809-1437
- NPI assigned
- Jul 26, 2010
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 42442 | CA | Primary |
Addresses
Primary practice location
19914 Horst Ave
Cerritos, CA 90703-7611
Mailing address
19914 Horst Ave
Cerritos, CA 90703-7611
Phone (562) 809-1437
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| X | Other | CA | TBD |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280102400000",
"number": "1285948729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19914 HORST AVE",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907037611",
"telephone_number": "562-809-1437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19914 HORST AVE",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907037611",
"telephone_number": "562-809-1437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "PRAFUL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-26",
"last_updated": "2010-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "42442",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TBD",
"identifier": "X",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cerritos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.