Organization Active NPI

Patrick Sweet MD PC

  • Gastroenterology Physician
  • Brawley, CA
National Provider Identifier
1306406251
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
PATRICK SWEET MD PC
Practice address
131 S 6TH St
Brawley, CA 92227-2429
Phone
(619) 204-6927
NPI assigned
Jun 13, 2019
Organization subpart
Yes
Parent organization
PATRICK SWEET MD PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Authorized official

Name
Dr. Patrick Henry Sweet III, MDNPI 1457407702
Title
Physician, Owner
Phone
(619) 204-6927

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
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

131 S 6TH St
Brawley, CA 92227-2429

Mailing address

24270 Highway 78
Ramona, CA 92065-6119
Phone (619) 204-6927

Other identifiers 1

IdentifierTypeStateIssuer
1063876688MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190731001891 CA Part B Supplier - Clinic/Group Practice 4880920610 Receives reassigned benefits from 2 practitioners
Practice locations: Brawley, CA; El Cajon, CA

National Provider Directory

National Provider Directory

Locations

131 S 6th St
Brawley, CA 92227
Phone (619) 204-6927

Practitioners & affiliated clinicians

Practitioners 2

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": "1560384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1306406251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24270 HIGHWAY 78",
            "city": "RAMONA",
            "state": "CA",
            "postal_code": "920656119",
            "telephone_number": "619-204-6927",
            "fax_number": "909-248-7790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 S 6TH ST",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922272429",
            "telephone_number": "619-204-6927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK SWEET MD PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PATRICK SWEET MD PC",
        "enumeration_date": "2019-06-13",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "SWEET",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "PHYSICIAN, OWNER",
        "authorized_official_telephone_number": "619-204-6927",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063876688",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brawley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.