Individual provider Active NPI

Shiv Hitesh Patel, PHARMD

  • Pharmacist
  • Calexico, CA
National Provider Identifier
1427650522
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH83627 Issued in CA
Practice address
2451 Rockwood Ave Ste 120
Calexico, CA 92231-4405
Phone
(442) 325-8310
Fax
(442) 325-8311
NPI assigned
Nov 12, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH83627 CA Primary

Addresses

Primary practice location

2451 Rockwood Ave Ste 120
Calexico, CA 92231-4405

Mailing address

750 N Imperial Ave
El Centro, CA 92243-1914
Phone (760) 353-2720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RPH83627CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Nilkanth Ams, Inc CurrentSince Sep 11, 2022 Accepting new patients
Vons Companies Inc PastSince Nov 1, 2020 Accepting new patients
Vons Companies Inc PastSince Nov 1, 2020 Accepting new patients

Locations

2451 Rockwood Ave
Ste 120
Calexico, CA 92231
Phone (442) 325-8310

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": "1605139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1427650522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 N IMPERIAL AVE",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922431914",
            "telephone_number": "760-353-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 ROCKWOOD AVE STE 120",
            "city": "CALEXICO",
            "state": "CA",
            "postal_code": "922314405",
            "telephone_number": "442-325-8310",
            "fax_number": "442-325-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHIV",
        "middle_name": "HITESH",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-12",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH83627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calexico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.