Poonum Patel, RN

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

License

95212832 Issued in CA

Practice address

1025 S Anaheim Blvd
Anaheim, CA 92805-5806

Phone

(714) 533-6220

NPI assigned

Mar 30, 2020

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1508494030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4945 FAIRWOOD CIR",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928872814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 S ANAHEIM BLVD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928055806",
            "telephone_number": "714-533-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "POONUM",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "CA",
            "license": "95212832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meera Patel
• Minal Mohanlal Patel, M.S., R.D.
• Minal P Patel
• Nidhi Harshad Patel, D.O.
• Nisa K Patel, FNP
• Priti P Patel, RPT
• Reena A Patel, O.D.
• Ricky Patel
• Sachi Patel, PA-C
• Sesha Jayant Patel, PHARMD

• Critical Care Medicine Registered Nurse in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Critical Care Medicine Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; 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.