Active NPI
Vivek-Sagar Mukesh Patel, M.D.
- Facial Plastic Surgery Physician
- Beverly Hills, CA
National Provider Identifier
1316236565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Facial Plastic Surgery Physician
- License
- A156753
- Practice address
- 435 N Roxbury Dr Ste 106
Beverly Hills, CA 90210-5003 - Phone
- (424) 394-0959
- Fax
- (713) 383-3727
- NPI assigned
- Mar 28, 2011
- Last updated
- Aug 30, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | Q7945 | TX | |
| Facial Plastic Surgery Physician | 207YS0123X | A156753 | CA | Primary |
Addresses
Primary practice location
435 N Roxbury Dr Ste 106
Beverly Hills, CA 90210-5003
Mailing address
435 N Roxbury Dr Ste 106
Beverly Hills, CA 90210-5003
Phone (424) 394-0959
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q7945 | TX | MD | Otolaryngology Physician |
| A156753 | CA | MD | Facial Plastic Surgery Physician |
Organizations & group practices 1
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.
-
- Otolaryngology Physician
- Beverly Hills, CA
- NPI 1538719554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598745600000",
"number": "1316236565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 N ROXBURY DR STE 106",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902105003",
"telephone_number": "424-394-0959",
"fax_number": "713-383-3727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 N ROXBURY DR STE 106",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902105003",
"telephone_number": "424-394-0959",
"fax_number": "713-383-3727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "VIVEK-SAGAR",
"middle_name": "MUKESH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-28",
"last_updated": "2020-08-30",
"certification_date": "2020-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "TX",
"license": "Q7945",
"primary": false
},
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "CA",
"license": "A156753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
- Kajal Patel, MD
- Puja Patel, RPH
- Rahil Patel, M.D.
- Sejal M Patel, M.D.
- Victoria Patel
- Laura Angelica Patino
- Patricia S. Gordon MD Professional Corp
- Patrick G. Pieper, M.D., a Medical Corporation
- Patrick Lennartz and Associates Physical Therapy Inc (Lennartz & Scherr Physical Therapy)
- Timothy John Patterson, MFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.