Brijesh J Patel, M.D., D.D.S

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

OMS 60 Issued in CA

Practice address

145 Park LN
Ste # 110
Moorpark, CA 93021-2113

Phone

(805) 532-1331

Fax

(805) 532-1371

NPI assigned

Oct 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249516800000",
    "number": "1497843403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 PARK LANE",
            "address_2": "STE # 110",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "93021",
            "telephone_number": "805-532-1331",
            "fax_number": "805-532-1371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 PARK LN",
            "address_2": "STE # 110",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930212113",
            "telephone_number": "805-532-1331",
            "fax_number": "805-532-1371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "BRIJESH",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D., D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2009-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "OMS 60",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Virginia Nunez Ibarra, RD
• Jeffrey Oakes, NCC, LSC, THM, MS,
• Daniel Oksun-Okah
• Alexandra Nur Ozder
• Anne Palacios, RN
• Paul H Jang DDS Inc
• Paul K. Takemoto, D.D.S., Professional Corporation
• Pdap of Ventura County, Inc.
• Pdap of Ventura County, Inc.
• Elizabeth Pedersen, S.L.P.

• Oral and Maxillofacial Surgery (Dentist) in Moorpark, CA
• Providers in Moorpark, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.