Organization Active NPI

Rajan Patel Corporation

  • Clinic/Center
  • Beverly Hills, CA
National Provider Identifier
1417165309
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
RAJAN PATEL CORPORATION
Practice address
8712 Wilshire Blvd Ste 1
Beverly Hills, CA 90211-2719
Phone
(310) 954-9280
Fax
(310) 954-9281
NPI assigned
May 21, 2007
Last updated
Feb 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Authorized official

Name
Rajan Mahendra Patel, M.DNPI 1649294984
Title
President
Phone
(310) 954-9280

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

8712 Wilshire Blvd Ste 1
Beverly Hills, CA 90211-2719

Mailing address

8712 Wilshire Blvd Ste 1
Beverly Hills, CA 90211-2719
Phone (310) 954-9280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070710000578 CA Part B Supplier - Clinic/Group Practice 2961502612 Receives reassigned benefits from 2 practitioners
Practice locations: Beverly Hills, CA
O20100930036202 CA DME Supplier - Physician - General Practice 2961502612 Practice locations: Beverly Hills, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708473600000",
    "number": "1417165309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8712 WILSHIRE BLVD STE 1",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112719",
            "telephone_number": "310-954-9280",
            "fax_number": "310-952-9281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8712 WILSHIRE BLVD STE 1",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112719",
            "telephone_number": "310-954-9280",
            "fax_number": "310-954-9281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJAN PATEL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RAJAN",
        "authorized_official_middle_name": "MAHENDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-954-9280",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; 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.