Individual provider Active NPI

Ketan Patel, MD

  • Pain Medicine Physician
  • Irvine, CA
National Provider Identifier
1316320864
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
A184155 Issued in CA
Practice address
113 Waterworks Way Ste 240
Irvine, CA 92618-3175
Phone
(949) 340-9622
Fax
(949) 528-3969
NPI assigned
Jul 1, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X A184155 CA Primary
Physical Medicine & Rehabilitation Physician 208100000X A184155 CA
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X 25MA10871500 NJ
Interventional Pain Medicine Physician 208VP0014X A184155 CA

Addresses

Primary practice location

113 Waterworks Way Ste 240
Irvine, CA 92618-3175

Mailing address

113 Waterworks Way Ste 240
Irvine, CA 92618-3175
Phone (949) 340-9622

Other practice location 1

2141 Route 88 Ste 3
Brick, NJ 08724-3268
Phone (732) 898-7050

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230725002320 CA Practitioner - Physical Medicine and Rehabilitation 1850638313 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Align Spine CenterGroup PAC ID 3375884679, 7 clinicians
Michael Decker DO, Inc.Group PAC ID 9830481746, 23 clinicians
Integrated Rehab Consultants California IncGroup PAC ID 0547499865, 39 clinicians

Practice addresses (Care Compare)

113 Waterworks Way
Suite 240
Irvine, CA 92618-3175
Phone (949) 340-9622

2725 E Broadway
Long Beach, CA 90803-5431
Phone (949) 371-9773

7716 W Manchester Ave
Playa del Rey Care and Rehabilitation
Playa del Ray, CA 90293-8408
Phone (310) 823-4694

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.82 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
76.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA10871500NJMDPain Medicine (Physical Medicine & Rehabilitation) Physician
A184155CAMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Rehab Consultants California Inc Multi-Specialty CurrentSince Oct 13, 2025 Accepting new patients
Michael Decker, DO, Inc Multi-Specialty CurrentSince Jul 26, 2023 Accepting new patients
Align Spine Center Multi-Specialty CurrentSince Sep 1, 2023 Accepting new patients
West Coast Health and Rehab PC Multi-Specialty CurrentSince Feb 1, 2026 Accepting new patients
St Jude Hospital Inc Interventional Pain Medicine Past Accepting new patients
Spine and Pain Institute of Orange County, Inc. Multi-Specialty Past Accepting new patients
Jeffrey Demian Inc Multi-Specialty Past Accepting new patients

Locations

820 E Imperial Hwy
Brea, CA 92821

9246 Avenida Miravilla
Cherry Valley, CA 92223
Phone (951) 845-3194

9440 Citrus Ave
Fontana, CA 92335
Phone (909) 823-3481

2720 N Harbor Blvd
Ste 210
Fullerton, CA 92835
Phone (714) 446-5192

565 Pier Ave
Unit 1352
Hermosa Beach, CA 90254
Phone (816) 896-1355

7534 Palm Ave
Highland, CA 92346
Phone (909) 862-0611

113 Waterworks Way
Ste 240
Irvine, CA 92618
Phone (949) 340-9622

25383 Cole St
Loma Linda, CA 92354
Phone (909) 796-0235

2725 E Broadway
Long Beach, CA 90803
Phone (562) 434-4494

837 W Manchester Ave
Los Angeles, CA 90044
Phone (310) 740-1013

800 E 5th St
Ontario, CA 91764
Phone (909) 984-1620

7716 W Manchester Ave
Playa del Rey, CA 90293
Phone (310) 823-4694

1620 W Fern Ave
Redlands, CA 92373
Phone (909) 793-2196

1850 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (323) 655-6960

8647 Fenwick St
Sunland, CA 91040
Phone (818) 352-1421

275 Garnet Way
Upland, CA 91786
Phone (909) 449-4887

1224 Rossmoor Pkwy
Walnut Creek, CA 94595
Phone (925) 937-7450

35253 Avenue H
Yucaipa, CA 92399
Phone (909) 795-2476

11970 4th St
Yucaipa, CA 92399
Phone (719) 661-0764

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: kpatel2957042@oc.providencedirect.org

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1316320864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 WATERWORKS WAY STE 240",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183175",
            "telephone_number": "949-340-9622",
            "fax_number": "949-528-3969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 WATERWORKS WAY STE 240",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183175",
            "telephone_number": "949-340-9622",
            "fax_number": "949-528-3969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2141 Route 88 Ste 3",
            "address_purpose": "LOCATION",
            "city": "Brick",
            "state": "NJ",
            "postal_code": "087243268",
            "country_code": "US",
            "telephone_number": "732-898-7050",
            "fax_number": "732-898-7051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KETAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-01",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "A184155",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A184155",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NJ",
            "license": "25MA10871500",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A184155",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.