Organization Active NPI

Ashish Patel MD Inc

  • Internal Medicine Physician
  • Danville, CA
National Provider Identifier
1295300424
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ASHISH PATEL MD INC
Practice address
303 Pine PL
Danville, CA 94506-4416
Phone
(310) 692-0557
NPI assigned
May 20, 2021
Last updated
Oct 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Authorized official

Name
Dr. Ashish PatelNPI 1932413200
Title
Owner
Phone
(925) 376-5995

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

303 Pine PL
Danville, CA 94506-4416

Mailing address

2605 Camino Tassajara Unit 2645
Danville, CA 94526-6036
Phone (925) 376-5995

Other identifiers 1

IdentifierTypeStateIssuer
A122093OtherCACA LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210611002159 CA Part B Supplier - Clinic/Group Practice 3870993835 Receives reassigned benefits from 1 practitioner
Practice locations: Danville, CA

National Provider Directory

National Provider Directory

Locations

2605 Camino Tassajara
Unit 2645
Danville, CA 94526
Phone (925) 376-5995

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1295300424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 CAMINO TASSAJARA UNIT 2645",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945266036",
            "telephone_number": "925-376-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 PINE PL",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945064416",
            "telephone_number": "310-692-0557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHISH PATEL MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-20",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ASHISH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-376-5995",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSE",
            "identifier": "A122093",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.