Organization Active NPI

Patel Family Practice, Inc

  • Family Medicine Physician
  • San Jose, CA
National Provider Identifier
1346563939
Registry record updated Aug 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A76093 Issued in CA
Legal business name
PATEL FAMILY PRACTICE, INC
Practice address
2505 Samaritan Dr
Suite 505
San Jose, CA 95124-4006
Phone
(408) 358-4200
NPI assigned
Mar 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2011

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

Authorized official

Name
Dr. Mittal C Patel, M.D.
Title
Owner / Physician
Phone
(408) 410-8023

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A76093 CA Primary

Addresses

Primary practice location

2505 Samaritan Dr
Suite 505
San Jose, CA 95124-4006

Mailing address

2505 Samaritan Dr
Suite 505
San Jose, CA 95124-4006
Phone (408) 358-4200

National Provider Directory

National Provider Directory

Locations

2505 Samaritan Dr
Ste 505
San Jose, CA 95124
Phone (408) 358-4200

2505 Samaritan Dr
Ste 503
San Jose, CA 95124
Phone (408) 358-2308

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313452800000",
    "number": "1346563939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 SAMARITAN DR",
            "address_2": "SUITE 505",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244006",
            "telephone_number": "408-358-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 SAMARITAN DR",
            "address_2": "SUITE 505",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244006",
            "telephone_number": "408-358-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATEL FAMILY PRACTICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-10",
        "last_updated": "2011-08-16",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MITTAL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER / PHYSICIAN",
        "authorized_official_telephone_number": "408-410-8023",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A76093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; 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.