Organization Active NPI

Heraj Patel, DPM Inc

  • Foot & Ankle Surgery Podiatrist
  • Thousand Oaks, CA
National Provider Identifier
1497161780
Registry record updated Jul 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E5139 Issued in CA
Legal business name
HERAJ PATEL, DPM INC
Practice address
425 Haaland Dr
Suite 201
Thousand Oaks, CA 91361-5229
Phone
(805) 496-2383
NPI assigned
Jul 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2014

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

Authorized official

Name
Dr. Heraj Patel, DPM
Title
Doctor
Phone
(818) 571-8232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X E5139 CA Primary

Addresses

Primary practice location

425 Haaland Dr
Suite 201
Thousand Oaks, CA 91361-5229

Mailing address

4939 Kilburn CT
Oak Park, CA 91377-4717

National Provider Directory

National Provider Directory

Locations

425 Haaland Dr
Ste 201
Thousand Oaks, CA 91361
Phone (805) 496-2383

NPI Registry JSON

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404691200000",
    "number": "1497161780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4939 KILBURN CT",
            "city": "OAK PARK",
            "state": "CA",
            "postal_code": "913774717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 HAALAND DR",
            "address_2": "SUITE 201",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913615229",
            "telephone_number": "805-496-2383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERAJ PATEL, DPM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-07",
        "last_updated": "2014-07-07",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "HERAJ",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "818-571-8232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; 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.