Organization Active NPI

New Life Medical Associates, Inc.

  • Child & Adolescent Psychiatry Physician
  • Apple Valley, CA
National Provider Identifier
1407107550
Registry record updated Sep 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
A110591 Issued in CA
Legal business name
NEW LIFE MEDICAL ASSOCIATES, INC.
Practice address
18031 US Highway 18
Suite C
Apple Valley, CA 92307-2152
Phone
(760) 486-0116
NPI assigned
Sep 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2012

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

Authorized official

Name
Darshan Patel, M.D.NPI 1518172535
Title
President
Phone
(760) 486-0116

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
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X A110591 CA Primary

Addresses

Primary practice location

18031 US Highway 18
Suite C
Apple Valley, CA 92307-2152

Mailing address

18031 US Highway 18
Suite C
Apple Valley, CA 92307-2152
Phone (760) 486-0116

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121207000460 CA Part B Supplier - Clinic/Group Practice 8628220126 Receives reassigned benefits from 3 practitioners
Practice locations: Adelanto, CA; Apple Valley, CA

National Provider Directory

National Provider Directory

Locations

11965 Cactus Rd
Ste G1
Adelanto, CA 92301
Phone (760) 810-7631

11965 Cactus Rd
Ste G
Adelanto, CA 92301

15972 Tuscola Rd
Ste 115
Apple Valley, CA 92307

18031 US Highway 18
Ste C
Apple Valley, CA 92307
Phone (760) 242-5389

Practitioners & affiliated clinicians

Practitioners 3

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": "1348790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348790400000",
    "number": "1407107550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18031 US HIGHWAY 18",
            "address_2": "SUITE C",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072152",
            "telephone_number": "760-486-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18031 US HIGHWAY 18",
            "address_2": "SUITE C",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072152",
            "telephone_number": "760-486-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE MEDICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-28",
        "last_updated": "2012-09-28",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "DARSHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-486-0116",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A110591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; 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.