Himadri M. Patel, DO a Medical Corporation

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

20A7494 Issued in CA

Legal business name

HIMADRI M. PATEL, DO A MEDICAL CORPORATION

Practice address

18350 Roscoe Blvd
Suite 604
Northridge, CA 91325-4109

Phone

(818) 775-9301

NPI assigned

Jun 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Himadri M Patel, DONPI 1548250384

Title

President

Phone

(818) 775-9301

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Himadri Mahesh Patel, D.O.

  • Family Medicine Physician
  • Plainfield, IL
  • NPI 1548250384
  NPD (past) Authorized official

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356543052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18350 ROSCOE BLVD",
            "address_2": "SUITE 604",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18350 ROSCOE BLVD",
            "address_2": "SUITE 604",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254109",
            "telephone_number": "818-775-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIMADRI M. PATEL, DO A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "HIMADRI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-775-9301",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "20A7494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX74940",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• High Quality Healthcare
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• Karolyn Hill
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• Kristine J Himmelrick, DPT
• Antreas Hindoyan, M.D.
• HK Home Health
• HKC Pharmacy Co
• Arcel Annabelle Ho, FNP

• Primary Care Clinic/Center in Northridge, CA
• Providers in Northridge, 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 Aug 22, 2020; 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.