Organization Active NPI

Gita J. Patel, DPM, Inc.

  • Foot & Ankle Surgery Podiatrist
  • Walnut Creek, CA
National Provider Identifier
1336572247
Registry record updated Feb 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4559 Issued in CA
Legal business name
GITA J. PATEL, DPM, INC.
Practice address
1479 Ygnacio Valley Rd
Suite 102
Walnut Creek, CA 94598-2986
Phone
(925) 765-9719
Fax
(925) 407-8352
NPI assigned
Aug 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2014

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

Authorized official

Name
Dr. Gitanjali J Patel, D. P.M.
Title
Owner
Phone
(925) 827-4056

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X E4559 CA Primary

Addresses

Primary practice location

1479 Ygnacio Valley Rd
Suite 102
Walnut Creek, CA 94598-2986

Mailing address

2340 Almond Ave
Concord, CA 94520-2026
Phone (925) 827-4056

Other identifiers 1

IdentifierTypeStateIssuer
000E45591OtherCAPTAN

National Provider Directory

National Provider Directory

Locations

2340 Almond Ave
Concord, CA 94520
Phone (925) 827-4056

1479 Ygnacio Valley Rd
Ste 102
Walnut Creek, CA 94598
Phone (925) 765-9719

NPI Registry JSON

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

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393372800000",
    "number": "1336572247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 ALMOND AVE",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202026",
            "telephone_number": "925-827-4056",
            "fax_number": "925-407-8352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1479 YGNACIO VALLEY RD",
            "address_2": "SUITE 102",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982986",
            "telephone_number": "925-765-9719",
            "fax_number": "925-407-8352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GITA J. PATEL, DPM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-14",
        "last_updated": "2014-02-26",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "GITANJALI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-827-4056",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "000E45591",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.