Pooja Jitendra Patel, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

13603 Issued in CA

Practice address

32689 Autumn Nest Rd
Winchester, CA 92596-8644

Phone

(858) 605-1805

NPI assigned

Sep 4, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Pooja Patel O.D.

  • Clinic/Center
  • Pasadena, CA
  • NPI 1528732880
  NPD Authorized official

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220486400000",
    "number": "1467600338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32689 AUTUMN NEST RD",
            "city": "WINCHESTER",
            "state": "CA",
            "postal_code": "925968644",
            "telephone_number": "858-605-1805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32689 AUTUMN NEST RD",
            "city": "WINCHESTER",
            "state": "CA",
            "postal_code": "925968644",
            "telephone_number": "858-605-1805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "POOJA",
        "middle_name": "JITENDRA",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-04",
        "last_updated": "2008-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13603",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007340-1",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.010157",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Jeanne Norman, LPCC
• Sara Marie Ojeda, LVN
• Peter Sungil Park, MD
• Noemi Anna Parrilla
• Mehrnaz Parsi, D.M.D
• Karla Perez, BSN, CNOR, RNFA
• Melissa Phillips
• Pinnacle Neuro Diagnostic
• Jaeanne Renae Ladrido Ramos, BSN, RN, PHN
• Rancho Milagro Recovery Inc

• Optometrist in Winchester, CA
• Providers in Winchester, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; 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.