Shounuck Ishver Patel, DO

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

20A13788 Issued in CA

Practice address

5020 Campus Dr Ste 210
Newport Beach, CA 92660-2111

Phone

(310) 929-9790

Fax

(310) 929-9791

NPI assigned

Nov 6, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Health Link Medical Group Inc

  • Physical Medicine & Rehabilitation Physician
  • Oceanside, CA
  • NPI 1013366236
  Medicare reassignment

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

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1356678692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 STATUARY",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926203551",
            "telephone_number": "202-277-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 CAMPUS DR STE 210",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602111",
            "telephone_number": "310-929-9790",
            "fax_number": "310-929-9791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHOUNUCK",
        "middle_name": "ISHVER",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-06",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "CA",
            "license": "20A13788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Patrick Pate I
• Jay Nitin Patel, M.D.
• Mukti Patel, LMFT
• Parth Patel, PT
• Shivani Patel, AMFT
• Tanvi Patel
• Trushar Jayanti Patel, M.D.
• Yeral Patel, MD
• Richard Mario Patragnoni Jr., MD
• Patricia Bitar Licensed Clinical Social Worker Inc.

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.