NPIMap

Organization Active NPI

Patel Spine Care Medical Inc

Doing business as Ocean Spine

  • Orthopaedic Surgery of the Spine Physician
  • Manhattan Beach, CA
National Provider Identifier
1497368021
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
Legal business name
PATEL SPINE CARE MEDICAL INC
Doing business as
Ocean Spine
Practice address
1200 Rosecrans Ave Ste 105
Manhattan Beach, CA 90266-2470
Phone
(310) 403-5778
Fax
(855) 898-4055
NPI assigned
Aug 24, 2020
Last updated
Nov 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Authorized official

Name
Pranay Bholabhai Patel, MDNPI 1134477565
Title
President
Phone
(310) 403-5778

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X
Orthopaedic Surgery of the Spine Physician 207XS0117X Primary

Addresses

Primary practice location

1200 Rosecrans Ave Ste 105
Manhattan Beach, CA 90266-2470

Mailing address

PO Box 3129
Torrance, CA 90510-3129
Phone (310) 792-3914

Other practice location 1

371 Van Ness Way Ste 210
Torrance, CA 90501-6297
Phone (310) 792-3914

Other names 1

  • OCEAN SPINE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201214000690 CA Part B Supplier - Clinic/Group Practice 1951713106 Receives reassigned benefits from 1 practitioner
Practice locations: Torrance, CA; Manhattan Beach, CA; Los Angeles, CA; Hawthorne, CA

National Provider Directory

National Provider Directory

Locations

4477 W 118th St
Ste 502
Hawthorne, CA 90250
Phone (213) 600-0472

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605571200000",
    "number": "1497368021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3129",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905103129",
            "telephone_number": "310-792-3914",
            "fax_number": "855-898-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 ROSECRANS AVE STE 105",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662470",
            "telephone_number": "310-403-5778",
            "fax_number": "855-898-4055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "371 Van Ness Way Ste 210",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905016297",
            "country_code": "US",
            "telephone_number": "310-792-3914",
            "fax_number": "855-898-4055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PATEL SPINE CARE MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PRANAY",
        "authorized_official_middle_name": "BHOLABHAI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-403-5778",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OCEAN SPINE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OCEAN SPINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manhattan Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.