Alpa Pravin Patel, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA 15643 Issued in CA

Practice address

7345 Medical Center Dr
Suite 600
West Hills, CA 91307-1910

Phone

(818) 347-2921

Fax

(818) 346-4436

NPI assigned

Mar 15, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Providence Medical Institute

  • Family Medicine Physician
  • Torrance, CA
  • NPI 1417915760
  Medicare reassignment
• Providence Medical Institute

  • Family Medicine Physician
  • Torrance, CA
  • NPI 1235182569
  NPD
• Providence Medical Institute

  • Family Medicine Physician
  • Torrance, CA
  • NPI 1760425862
  NPD

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1306970702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7345 MEDICAL CENTER DR",
            "address_2": "SUITE 600",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071910",
            "telephone_number": "818-347-2921",
            "fax_number": "818-346-4436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7345 MEDICAL CENTER DR",
            "address_2": "SUITE 600",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071910",
            "telephone_number": "818-347-2921",
            "fax_number": "818-346-4436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ALPA",
        "middle_name": "PRAVIN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA 15643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PA15643",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "apatel191856@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "7345 Medical Center Dr",
            "address_2": "suite 600",
            "city": "West Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913071910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jun Kyu Park, M.D.
• Parkwest Pharmacy Inc
• Samir Pamakant Parmekar, M.D.
• Sara Elizabeth Parnass
• Ileana M Pat, MD
• Shivani Virendra Patel, PHARMD
• Paul D Weir M.D. Inc
• Paul E. Diehl, M.D., a Medical Corporation
• Barbara Cohen Pavlo, PSY.D.
• Mahbod Paya, M.D.

• Physician Assistant in West Hills, CA
• Providers in West Hills, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.