Carissa Patel

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

957 Industrial Rd Ste B
San Carlos, CA 94070

Phone

(650) 445-2746

NPI assigned

Oct 4, 2016

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1356891295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PINE AVE STE 400",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908023039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "957 INDUSTRIAL RD STE B",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "94070",
            "telephone_number": "650-445-2746"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "957 Industrial Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "San Carlos",
            "state": "CA",
            "postal_code": "940704152",
            "country_code": "US",
            "telephone_number": "650-445-2746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "CARISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-04",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Park, PHARM D
• Jinhee Park, MD
• Leah Parry
• Perry Ray Partlow
• Shani Pascal, M.P.T
• Neel Dipak Patel, MD
• Sanjay Ravindra Patel, RPH.
• Pathserve
• Pathserve Autopsy
• Jerry Michael Patrignani, D.C.

• Case Manager/Care Coordinator in San Carlos, CA
• Providers in San Carlos, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; 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.