Individual provider Active NPI

Amit Patel, PA-C

  • Physician Assistant
  • Los Angeles, CA
National Provider Identifier
1396409884
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA60549 Issued in CA
Practice address
888 S Figueroa St Ste 1050
Los Angeles, CA 90017-5310
Phone
(213) 319-3339
Fax
(213) 408-4414
NPI assigned
Oct 29, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA60549 CA Primary

Addresses

Primary practice location

888 S Figueroa St Ste 1050
Los Angeles, CA 90017-5310

Mailing address

888 S Figueroa St Ste 1050
Los Angeles, CA 90017-5310
Phone (213) 319-3339

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220425000514 CA Practitioner - Physician Assistant 1456748375 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Boston University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
William J Wickwire M D Inc a Professional CorporationGroup PAC ID 7315974375, 10 clinicians
James Y Wang MD IncGroup PAC ID 7618213406, 15 clinicians

Practice addresses (Care Compare)

500 Pacific Coast Hwy
Suite 212
Seal Beach, CA 90740-6643
Phone (562) 431-8554

520 N Prospect Ave
Suite 302
Redondo Beach, CA 90277-3043
Phone (310) 798-1515

888 S Figueroa St
Suite 1050
Los Angeles, CA 90017-5310
Phone (213) 319-3339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
60549CAMDDentist
PA60549CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Los Angeles ENT Facial Plastics Center, Inc PastSince Nov 1, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1396409884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 S FIGUEROA ST STE 1050",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900175310",
            "telephone_number": "213-319-3339",
            "fax_number": "213-408-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 S FIGUEROA ST STE 1050",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900175310",
            "telephone_number": "213-319-3339",
            "fax_number": "213-408-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "AMIT",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-29",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA60549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.