Active NPI
Hetal Kantilal Patel, PHARM. D
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Berkeley, CA
National Provider Identifier
1487022505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 59163
- Practice address
- 1007 Amito Dr
Berkeley, CA 94705-1501 - Phone
- (415) 694-8614
- NPI assigned
- Sep 4, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 59163 | CA | Primary |
Addresses
Primary practice location
1007 Amito Dr
Berkeley, CA 94705-1501
Mailing address
1007 Amito Dr
Berkeley, CA 94705-1501
Phone (415) 694-8614
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
- Credentials
- Doctor of Pharmacy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441324800000",
"number": "1487022505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1007 AMITO DR",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947051501",
"telephone_number": "415-694-8614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1007 AMITO DR",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947051501",
"telephone_number": "415-694-8614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "HETAL",
"middle_name": "KANTILAL",
"credential": "PHARM. D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-04",
"last_updated": "2015-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "CA",
"license": "59163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.