Nita Rajani Patel, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G076981 Issued in CA

Practice address

4560 Admiralty Way
Suite 101
Marina del Rey, CA 90292-5423

Phone

(310) 577-7544

Fax

(310) 577-5255

NPI assigned

May 12, 2006

Last updated

Jul 5, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Dermatology

Education

University of California, Geffen School of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advance Dermatology and Laser Medical Center IncGroup PAC ID 0345277000, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: npatel@adl.emadirect.md
• Direct secure messaging: npp102pcs@m1701.primeclinicalsystems.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advance Dermatology & Laser Medical Center Inc.

  • Procedural Dermatology Physician
  • Marina del Rey, CA
  • NPI 1396849576
  Medicare reassignment Care Compare group NPD
• Cedars-Sinai Medical Center

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1639172372
  NPD (past)
• Dana Bae Kang, MD, Inc

  • Health Service Clinic/Center
  • Arcadia, CA
  • NPI 1295969780
  NPD (past)
• Prime Healthcare Centinela, LLC

  dba Centinela Hospital Medical Center

  • General Acute Care Hospital
  • Inglewood, CA
  • NPI 1336328244
  NPD (past)
• Providence Saint John's Health Center

  • General Acute Care Hospital
  • Santa Monica, CA
  • NPI 1124026273
  NPD (past)
• West Hills Hospital

  dba West Hills Hospital & Medical Center

  • General Acute Care Hospital
  • West Hills, CA
  • NPI 1023065729
  NPD (past)

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467676800000",
    "number": "1295786663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4560 ADMIRALTY WAY",
            "address_2": "SUITE 101",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925423",
            "telephone_number": "310-577-7544",
            "fax_number": "310-577-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 ADMIRALTY WAY",
            "address_2": "SUITE 101",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925423",
            "telephone_number": "310-577-7544",
            "fax_number": "310-577-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NITA",
        "middle_name": "RAJANI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2016-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G076981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pashayi Chiropractic Corp
• Mina Pashayi-Marandi, DC
• Anisha Sunil Patel, DO
• Keyur Arun Patel, M.D.
• Mita B Patel, M.D.
• Mister Patterson
• Paul B Donzis MD Inc (Eye Institute of Marina del Rey)
• Mario E. Paz, D.D.S.
• Pchung Corporation (BrightStar Care of Santa Monica/Marina del Rey)
• Michael C Pelletier, BCOM, MBA

• Specialist in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.