Sarju Bhaskerrao Patel, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

42758 Issued in CA

Practice address

15706 Pomerado Rd
Suite 201
Poway, CA 92064-2067

Phone

(858) 674-5252

Fax

(858) 674-5255

NPI assigned

Mar 26, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417075763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15706 POMERADO RD",
            "address_2": "SUITE 201",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642067",
            "telephone_number": "858-674-5252",
            "fax_number": "858-674-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15706 POMERADO RD",
            "address_2": "SUITE 201",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642067",
            "telephone_number": "858-674-5252",
            "fax_number": "858-674-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SARJU",
        "middle_name": "BHASKERRAO",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Megha Patel
• Sachi Patel
• Patrick J. Fitzgerald, M.D., Inc.
• Timickea Patrick
• Paul C Milling M D a Professional Corporation
• Paul Neustein MD Inc
• Paul Schrupp (Integrated Surgery Center 107 LLC)

• General Practice Dentistry in Poway, CA
• Providers in Poway, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.