Infectious Disease Clinic Inc

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

A89330 Issued in CA

Legal business name

INFECTIOUS DISEASE CLINIC INC

Practice address

216 S Citrus St
Suite 395
West Covina, CA 91791-2144

Phone

(626) 348-4239

Fax

(626) 498-0708

NPI assigned

Oct 13, 2014

Organization subpart

No

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

Authorized official

Name

Devesh Patel, M.D.NPI 1407840697

Title

President

Phone

(626) 859-4167

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Devesh N Patel, MD

  • Infectious Disease Physician
  • West Covina, CA
  • NPI 1407840697

  Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Preeti Jamarai

  • Nurse Practitioner
  • Fontana, CA
  • NPI 1336922640
  Medicare reassignment Care Compare group NPD
• Ludivina A De Dios-del Mundo, NP

  • Acute Care Nurse Practitioner
  • Rancho Cucamonga, CA
  • NPI 1699437939
  Medicare reassignment NPD
• Sagie De Guzman, PHD, A-CNS, ANP-C

  • Nurse Practitioner
  • Santa Monica, CA
  • NPI 1346659075
  Medicare reassignment NPD
• Victor Felipe Jimenez, P.A.C.

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1720113079
  Medicare reassignment
• Alfonso Villanueva Pastores, FNP

  • Family Nurse Practitioner
  • Artesia, CA
  • NPI 1700335494
  NPD

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558569600000",
    "number": "1437553971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 S CITRUS ST",
            "address_2": "SUITE 395",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917912144",
            "telephone_number": "626-348-4239",
            "fax_number": "626-498-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 S CITRUS ST",
            "address_2": "SUITE 395",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917912144",
            "telephone_number": "626-348-4239",
            "fax_number": "626-498-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFECTIOUS DISEASE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-13",
        "last_updated": "2019-05-23",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "DEVESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-859-4167",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A89330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• In Favor Ventures LLC
• In Home Health LLC (Heartland Home Health Care and Hospice)
• Vedali Santosh Inamdar
• Charity Inclan
• Alpha Infante, AMFT
• Infinity Care of West Covina
• Michelle Inga
• Inspire Mobility Access
• Inspired Elderly Care Living
• Institute for Multicultural Counseling and Education Services, Inc

• Infectious Disease Physician in West Covina, CA
• Providers in West Covina, CA by specialty
• Infectious Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; 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.