Active NPI
Hiren R Patel, M.D.
- Anesthesiology Physician
- Yucca Valley, CA
National Provider Identifier
1528070679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- C50888
- Practice address
- 7384 La Vina TRL
Yucca Valley, CA 92284-2326 - Phone
- (760) 362-3777
- Fax
- (760) 228-2151
- NPI assigned
- Aug 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | C50888 | CA | Primary |
Addresses
Primary practice location
7384 La Vina TRL
Yucca Valley, CA 92284-2326
Mailing address
7384 La Vina TRL
Yucca Valley, CA 92284-2326
Phone (760) 362-3777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C508880 | Medicaid | CA |
Medicare participation
Medicare enrollment files- 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: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040612000752 | CA | Practitioner - Anesthesiology | 0648253229 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C50888 | CA | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407369600000",
"number": "1528070679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7384 LA VINA TRL",
"city": "YUCCA VALLEY",
"state": "CA",
"postal_code": "922842326",
"telephone_number": "760-362-3777",
"fax_number": "760-228-2151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7384 LA VINA TRL",
"city": "YUCCA VALLEY",
"state": "CA",
"postal_code": "922842326",
"telephone_number": "760-362-3777",
"fax_number": "760-228-2151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "HIREN",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-13",
"last_updated": "2014-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "C50888",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C508880",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yucca Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; 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.