Individual provider Active NPI

Jay Ashwinbhai Patel, MD

  • Pulmonary Disease Physician
  • San Juan Capistrano, CA
National Provider Identifier
1467834044
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A164610 Issued in CA
Practice address
30230 Rancho Viejo Rd Ste 200
San Juan Capistrano, CA 92675-1585
Phone
(949) 443-4303
Fax
(949) 443-4033
NPI assigned
Jun 19, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A164610 CA
Internal Medicine Physician 207R00000X 125066968 IL
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A164610 CA
Pulmonary Disease Physician 207RP1001X A164610 CA Primary

Addresses

Primary practice location

30230 Rancho Viejo Rd Ste 200
San Juan Capistrano, CA 92675-1585

Mailing address

PO Box 7087
Orange, CA 92863-7087
Phone (714) 571-5000

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210721004166 CA Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 7416282934 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine, Sleep Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Superior Hospitalist Medical Group IncGroup PAC ID 1456650928, 75 clinicians
Paloma Medical Group IncGroup PAC ID 5193821908, 18 clinicians
Western Institute of Critical Care Medicine, IncGroup PAC ID 4385986033, 10 clinicians

Practice addresses (Care Compare)

1680 E 120TH St
Los Angeles, CA 90059-3026
Phone (424) 338-8000

23141 Moulton Pkwy
Suite 108
Laguna Hills, CA 92653-1241
Phone (949) 443-4303

30230 Rancho Viejo Rd
Suite 200
San Juan Capistrano, CA 92675-1585
Phone (949) 443-4303

800 S Main St
Corona, CA 92882-3420
Phone (951) 737-4343

Hospital & facility affiliations

  • Providence Mission Hospital Hospital, Mission Viejo, CA, CCN 050567
  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224
  • Corona Regional Medical Center Hospital, Corona, CA, CCN 050329
  • Memorialcare Saddleback Medical Center Hospital, Laguna Hills, CA, CCN 050603
  • Kindred Hospital Brea Long-term care hospital, Brea, CA, CCN 052039

Merit-based Incentive Payment System (MIPS)

Final score
80.2 of 100Reported as group
Quality
59.72
Improvement activities
40
Cost
66.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125066968ILMDInternal Medicine Physician
A164610CAMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paloma Medical Group Inc Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Superior Hospitalist Medical Group Inc Internal Medicine CurrentSince Apr 10, 2021 Accepting new patients
Paloma Incare CurrentSince Dec 3, 2023 Accepting new patients
Pacific Private Practice Network Inc Internal Medicine CurrentSince Sep 1, 2022 Accepting new patients
Seasons Medical Group of California Incorporated CurrentSince Oct 8, 2022 Accepting new patients
Seasons Hospice & Palliative Care of California- San Bernardino, LLC Past Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Mission Hospital Regional Medical Center Past Accepting new patients
MD Solutions Medical Corp PastSince Sep 1, 2022 Accepting new patients
Martin Luther King, Jr. - Los Angeles (MLK-la) Healthcare Corporation Past Accepting new patients

Locations

320 Arden Ave
Ste 100
Glendale, CA 91203
Phone (626) 568-5000

23141 Moulton Pkwy
Ste 108
Laguna Hills, CA 92653
Phone (949) 215-7575

1680 E 120th St
Los Angeles, CA 90059
Phone (424) 338-8000

27700 Medical Center Rd
Mission Viejo, CA 92691
Phone (949) 364-7744

3110 E Guasti Rd
Ste 315
Ontario, CA 91761
Phone (346) 376-1702

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

750 The City Dr S
Ste 120
Orange, CA 92868
Phone (714) 980-0900

8686 Haven Ave
Ste 300
Rancho Cucamonga, CA 91730
Phone (909) 981-1136

16745 W Bernardo Dr
Ste 240
San Diego, CA 92127
Phone (858) 592-2000

30230 Rancho Viejo Rd
Ste 110
San Juan Capo, CA 92675
Phone (949) 441-5681

30230 Rancho Viejo Rd
Ste 200
San Juan Capo, CA 92675
Phone (949) 443-4114

1901 College Ave
Santa Ana, CA 92706
Phone (714) 564-7800

200 Hospital Cir
Westminster, CA 92683
Phone (714) 386-9043

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GIJIBD

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1467834044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7087",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928637087",
            "telephone_number": "714-571-5000",
            "fax_number": "714-571-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30230 RANCHO VIEJO RD STE 200",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751585",
            "telephone_number": "949-443-4303",
            "fax_number": "949-443-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JAY",
        "middle_name": "ASHWINBHAI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-19",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A164610",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125066968",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A164610",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A164610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan Capistrano, CA

Sources for this page

Verify at the official NPI Registry.