Active NPI
Eshani Patel, DMD
- General Practice Dentistry
- Sun Valley, CA
National Provider Identifier
1437770039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DDS106759
- Practice address
- 10932 Ratner St
Sun Valley, CA 91352-4036 - Phone
- (818) 767-6022
- NPI assigned
- May 5, 2020
- Last updated
- Sep 8, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DDS106759 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU |
Addresses
Primary practice location
10932 Ratner St
Sun Valley, CA 91352-4036
Mailing address
1827 Midvale Ave Apt 504
Los Angeles, CA 90025-6977
Other practice location 1
26001 Redlands Blvd
Redlands, CA 92373-7762
Phone (909) 825-7084
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS106759 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631059200000",
"number": "1437770039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1827 MIDVALE AVE APT 504",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900256977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10932 RATNER ST",
"city": "SUN VALLEY",
"state": "CA",
"postal_code": "913524036",
"telephone_number": "818-767-6022"
}
],
"practiceLocations": [
{
"address_1": "26001 Redlands Blvd",
"address_purpose": "LOCATION",
"city": "Redlands",
"state": "CA",
"postal_code": "923737762",
"country_code": "US",
"telephone_number": "909-825-7084",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "ESHANI",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-05",
"last_updated": "2021-09-08",
"certification_date": "2021-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "DDS106759",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sun Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.