Individual provider Active NPI

Gnyandev Patel, M.D.

  • Specialist
  • Lakewood, CA
National Provider Identifier
1376593657
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A618690 Issued in CA
Practice address
3300 E South St
Suite # 206
Lakewood, CA 90805-4549
Phone
(562) 232-2378
Fax
(562) 232-2379
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 75839 TN
Specialist 174400000X A618690 CA Primary

Addresses

Primary practice location

3300 E South St
Suite # 206
Lakewood, CA 90805-4549

Mailing address

PO Box 189
Bellflower, CA 90707-0189
Phone (562) 232-2378

Other practice location 1

301 Tyson Ave
Paris, TN 38242-4544
Phone (303) 390-1940

Other identifiers 4

IdentifierTypeStateIssuer
200059993OtherCAE.I.N NO.
00A618690OtherCAB/C PROVIDER NO.
00A618690OtherCAB/S PROVIDER NO.
A618690OtherCASTATE LICENSE NO.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL, TN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040329001144 CA Practitioner - Internal Medicine 1254223159 Reassigns benefits to 1 organization
I20210128001012 FL Practitioner - Internal Medicine 1254223159 Reassigns benefits to 1 organization
I20260113001660 TN Practitioner - Internal Medicine 1254223159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rural Physicians Group-Pannu PLLCGroup PAC ID 0345467486, 141 clinicians

Practice addresses (Care Compare)

301 Tyson Ave
Paris, TN 38242-4544
Phone (731) 642-1220

Hospital & facility affiliations

  • West Tennessee Healthcare Henry County Hospital Hospital, Paris, TN, CCN 440132

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A618690CAMDSpecialist
75839TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pensacola Hospitalist Physicians, LLC Current Accepting new patients
Pensacola Hospitalist Physicians, LLC CurrentSince Jan 1, 2021 Accepting new patients
Rural Physicians Group-Pannu PLLC Internal Medicine CurrentSince Dec 1, 2025 Accepting new patients
Rohun Medical Corporation Specialist CurrentSince Jan 1, 2013 Accepting new patients
University of California Irvine Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Pih Health Downey Hospital Past Accepting new patients

Locations

3300 E South St
Ste 206
Lakewood, CA 90805
Phone (562) 232-2378

5575 Dtc Pkwy
Ste 225
Greenwood Village, CO 80111

1000 W Moreno St
Pensacola, FL 32501
Phone (850) 434-4011

123 Baptist Way
Pensacola, FL 32503
Phone (850) 434-4011

1110 Gulf Breeze Pkwy
Pensacola Beach, FL 32561
Phone (850) 438-1848

301 Tyson Ave
Paris, TN 38242
Phone (731) 642-1220

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1376593657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907070189",
            "telephone_number": "562-232-2378",
            "fax_number": "562-232-2379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 E SOUTH ST",
            "address_2": "SUITE # 206",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "908054549",
            "telephone_number": "562-232-2378",
            "fax_number": "562-232-2379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Tyson Ave",
            "address_purpose": "LOCATION",
            "city": "Paris",
            "state": "TN",
            "postal_code": "382424544",
            "country_code": "US",
            "telephone_number": "303-390-1940",
            "fax_number": "866-368-6349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "GNYANDEV",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "75839",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A618690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "E.I.N NO.",
            "identifier": "200059993",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B/C PROVIDER NO.",
            "identifier": "00A618690",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B/S PROVIDER NO.",
            "identifier": "00A618690",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NO.",
            "identifier": "A618690",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CA

Sources for this page

Verify at the official NPI Registry.