Organization Active NPI

Dharini M. Patel, MD, Inc

  • Anesthesiology Physician
  • La Palma, CA
National Provider Identifier
1376774257
Registry record updated Jul 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A72427 Issued in CA
Legal business name
DHARINI M. PATEL, MD, INC
Practice address
5451 La Palma Ave
Ste 15
La Palma, CA 90623-1728
Phone
(714) 809-2221
NPI assigned
Jul 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2014

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

Authorized official

Name
Dr. Dharini Mahendra Patel, MDNPI 1750492013
Title
Ceo
Phone
(714) 809-2221

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X A72427 CA Primary

Addresses

Primary practice location

5451 La Palma Ave
Ste 15
La Palma, CA 90623-1728

Mailing address

5451 La Palma Ave
Ste 15
La Palma, CA 90623-1728
Phone (714) 809-2221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091009000298 CA Part B Supplier - Clinic/Group Practice 8921144684 Receives reassigned benefits from 1 practitioner
Practice locations: Newport Beach, CA; San Clemente, CA; Westlake Village, CA

National Provider Directory

National Provider Directory

Locations

5451 La Palma Ave
Ste 15
La Palma, CA 90623
Phone (562) 866-1764

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406678400000",
    "number": "1376774257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5451 LA PALMA AVE",
            "address_2": "STE 15",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231728",
            "telephone_number": "714-809-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5451 LA PALMA AVE",
            "address_2": "STE 15",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231728",
            "telephone_number": "714-809-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DHARINI M. PATEL, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-27",
        "last_updated": "2014-07-30",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "DHARINI",
        "authorized_official_middle_name": "MAHENDRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-809-2221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A72427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Palma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.