Individual provider Active NPI

Mega Harshad Patel, DDS

  • Dentist
  • Northridge, CA
National Provider Identifier
1386296507
Registry record updated Jul 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DDS103723 Issued in CA
Practice address
18519 Devonshire St
Northridge, CA 91324-1308
Phone
(818) 831-9990
NPI assigned
Jul 9, 2019
Last updated
Jul 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DDS103723 CA Primary

Addresses

Primary practice location

18519 Devonshire St
Northridge, CA 91324-1308

Mailing address

1950 Pelham Ave
Los Angeles, CA 90025-5854

Other practice location 1

11850 Balboa Blvd
Granada Hills, CA 91344-2753
Phone (818) 360-1946

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
I20221208002965 CA Practitioner - Dentist 9335518687 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
103723CAMDMarriage & Family Therapist
DDS103723CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Arroyo Vista Family Health Foundation CurrentSince Sep 1, 2022 Accepting new patients
Charles Rodgers Professional Dental Corporation Past Accepting new patients
Ekizian and Elie Dental Corporation Past Accepting new patients

Locations

2411 N Broadway
Los Angeles, CA 90031
Phone (323) 987-2000

6000 N Figueroa St
Los Angeles, CA 90042
Phone (323) 254-5221

Interoperability endpoints

  • Direct secure messaging: mega.patel.p1@direct.arroyovista.nextgenshare.com

Organizations & group practices 3

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": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1386296507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 PELHAM AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18519 DEVONSHIRE ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913241308",
            "telephone_number": "818-831-9990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11850 Balboa Blvd",
            "address_purpose": "LOCATION",
            "city": "Granada Hills",
            "state": "CA",
            "postal_code": "913442753",
            "country_code": "US",
            "telephone_number": "818-360-1946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MEGA",
        "middle_name": "HARSHAD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-09",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS103723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

Verify at the official NPI Registry.