Jayesh J. Patel M.D. Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A72056 Issued in CA

Legal business name

JAYESH J. PATEL M.D. INC

Practice address

1525 Webster St Ste a
Fairfield, CA 94533-4935

Phone

(707) 423-2506

Fax

(707) 429-1158

NPI assigned

Oct 10, 2007

Last updated

Apr 25, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jayesh J Patel, M.D.NPI 1427079169

Title

President

Phone

(707) 423-2510

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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.

• Jayesh J Patel, MD

  • Internal Medicine Physician
  • Fairfield, CA
  • NPI 1427079169
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1326236753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 WEBSTER ST STE A",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945334935",
            "telephone_number": "707-423-2510",
            "fax_number": "707-425-4236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 WEBSTER ST STE A",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945334935",
            "telephone_number": "707-423-2506",
            "fax_number": "707-429-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYESH J. PATEL M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JAYESH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-423-2510",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A72056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marisol Jaradat, RN
• Sara Jardin, BCBA
• Bryzaezs Cheyenne Jasper
• Maham Javed, PA-C
• Ellen Bradford Javete, LMFT
• Elie Raphael Jean Baptiste
• Darwin Jean Charles
• Jeannette Peterson MD Inc
• Julie Ann Jedzinak, PSYD
• De'Arrah Jefferson

• Primary Care Clinic/Center in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.