Shreya Manu Patel, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA18719 Issued in CA

Practice address

1111 W Chase Ave
El Cajon, CA 92020-5710

Phone

(619) 515-2499

NPI assigned

May 18, 2007

Sex

Female

Sole proprietor

No

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Family Health Centers of San Diego, Inc

  • Federally Qualified Health Center (FQHC)
  • San Diego, CA
  • NPI 1447281936
  Medicare reassignment
• Family Health Centers of San Diego, Inc

  • Federally Qualified Health Center (FQHC)
  • El Cajon, CA
  • NPI 1104861681
  NPD
• Family Health Centers of San Diego, Inc

  • Federally Qualified Health Center (FQHC)
  • Escondido, CA
  • NPI 1356178180
  NPD
• Family Health Centers of San Diego, Inc

  • Federally Qualified Health Center (FQHC)
  • San Diego, CA
  • NPI 1386689701
  NPD

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1447468137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22879 HILTON HEAD DR UNIT 244",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917654411",
            "telephone_number": "714-865-8696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W CHASE AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920205710",
            "telephone_number": "619-515-2499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11920 Garvey Ave",
            "address_purpose": "LOCATION",
            "city": "El Monte",
            "state": "CA",
            "postal_code": "917323514",
            "country_code": "US",
            "telephone_number": "626-350-2196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHREYA",
        "middle_name": "MANU",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA18719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anup Patel
• Kamlesh Patel
• Krunal A Patel, PHARM.D
• Rakesh Patel, M.D
• Shilpa Patel, NP
• Smit Ashok Patel, O.D.
• Daniel Bactol Patiag, NURSE PRACTITIONER
• Patriot Transportation Services,Inc
• Kristina Nicole Patterson
• Tiffany Rose Paugh

• Physician Assistant in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.