NPIMap

Organization Active NPI

Jagruti Patel DDS, a Prof. Corp.

  • Dental Clinic/Center
  • San Diego, CA
National Provider Identifier
1386817328
Registry record updated Oct 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
36105 Issued in CA
Legal business name
JAGRUTI PATEL DDS, A PROF. CORP.
Practice address
12750 Carmel Country Rd
Suite 114a
San Diego, CA 92130-2159
Phone
(858) 792-2511
Fax
(858) 792-4121
NPI assigned
Apr 10, 2008
Last updated
Oct 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2008

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

Authorized official

Name
Dr. Jagruti Patel, DDSNPI 1972724896
Title
President
Phone
(760) 720-9196

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 36105 CA Primary

Addresses

Primary practice location

12750 Carmel Country Rd
Suite 114a
San Diego, CA 92130-2159

Mailing address

12750 Carmel Country Rd
Suite 114a
San Diego, CA 92130-2159
Phone (858) 792-2511

National Provider Directory

National Provider Directory

Locations

12750 Carmel Country Rd
Ste 114A
San Diego, CA 92130
Phone (858) 792-2511

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1386817328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12750 CARMEL COUNTRY RD",
            "address_2": "SUITE 114A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302159",
            "telephone_number": "858-792-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12750 CARMEL COUNTRY RD",
            "address_2": "SUITE 114A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302159",
            "telephone_number": "858-792-2511",
            "fax_number": "858-792-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAGRUTI PATEL DDS, A PROF. CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JAGRUTI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-720-9196",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "36105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.