Individual provider Active NPI

Priyanka Patel, DDS

  • Dentist
  • Brentwood, CA
National Provider Identifier
1366228074
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
109284 Issued in CA
Practice address
6660 Lone Tree Way Ste 7
Brentwood, CA 94513-5310
Phone
(925) 513-8363
NPI assigned
Sep 7, 2023
Last updated
Jun 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 109284 CA Primary

Addresses

Primary practice location

6660 Lone Tree Way Ste 7
Brentwood, CA 94513-5310

Mailing address

440 Navaro PL Unit 104
San Jose, CA 95134-2456
Phone (415) 619-9633

Other practice location 1

30941 Courthouse Dr
Union City, CA 94587-1716
Phone (510) 338-4383

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240129002470 CA Order and Referring Only - DentistPractitioner - Dentist 4880047604

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
109284CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Amardeep Gill, D.D.S., Inc. Dentist PastSince Sep 10, 2023 Accepting new patients
Pacific Dental Services Dentist PastSince Sep 10, 2023 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1366228074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 NAVARO PL UNIT 104",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951342456",
            "telephone_number": "415-619-9633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6660 LONE TREE WAY STE 7",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945135310",
            "telephone_number": "925-513-8363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30941 Courthouse Dr",
            "address_purpose": "LOCATION",
            "city": "Union City",
            "state": "CA",
            "postal_code": "945871716",
            "country_code": "US",
            "telephone_number": "510-338-4383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRIYANKA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-07",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "109284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, CA

Sources for this page

Verify at the official NPI Registry.