Organization Active NPI

Sunil Patel, D.O., Inc.

Doing business as Advanced Medical and Kidney Institute

  • Specialist
  • Apple Valley, CA
National Provider Identifier
1346662657
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SUNIL PATEL, D.O., INC.
Doing business as
Advanced Medical and Kidney Institute
Practice address
16003 Tuscola Rd
Suite H
Apple Valley, CA 92307-0825
Phone
(760) 810-0888
Fax
(760) 316-2800
NPI assigned
Jan 7, 2014
Last updated
Dec 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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

Authorized official

Name
Dr. Sunil Patel, D.O.NPI 1134274012
Title
Ceo
Phone
(760) 810-0888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

16003 Tuscola Rd
Suite H
Apple Valley, CA 92307-0825

Mailing address

16003 Tuscola Rd
Suite H
Apple Valley, CA 92307-0825
Phone (760) 810-0888

Other names 1

  • Advanced Medical and Kidney Institute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140815001328 CA Part B Supplier - Clinic/Group Practice 9830316744 Receives reassigned benefits from 1 practitioner
Practice locations: Apple Valley, CA

National Provider Directory

National Provider Directory

Locations

16048 Tuscola Rd
Ste 5
Apple Valley, CA 92307
Phone (760) 486-4990

18145 US Highway 18
Ste F
Apple Valley, CA 92307
Phone (760) 242-6652

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1389052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482278400000",
    "number": "1346662657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16003 TUSCOLA RD",
            "address_2": "SUITE H",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923070825",
            "telephone_number": "760-810-0888",
            "fax_number": "760-316-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16003 TUSCOLA RD",
            "address_2": "SUITE H",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923070825",
            "telephone_number": "760-810-0888",
            "fax_number": "760-316-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNIL PATEL, D.O., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-07",
        "last_updated": "2016-12-21",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SUNIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-810-0888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Medical and Kidney Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; 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.