Rutambhar Patel, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC25916 Issued in CA

Practice address

122 Lincoln Blvd
Ste 103
Venice, CA 90291-2826

Phone

(310) 399-3200

NPI assigned

Jun 23, 2005

Sex

Male

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)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Axiom Health Physical Medicine Inc

  • Physical Medicine & Rehabilitation Physician
  • Venice, CA
  • NPI 1811411002
  NPD Authorized official
• Rutambhar Patel D.C. a Chiropractic Corporation

  dba Axiom Health

  • Chiropractor
  • Venice, CA
  • NPI 1619298304
  NPD (past) Authorized official

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194393600000",
    "number": "1548266646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 LINCOLN BLVD",
            "address_2": "STE 103",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902912826",
            "telephone_number": "310-399-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 LINCOLN BLVD",
            "address_2": "STE 103",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902912826",
            "telephone_number": "310-399-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RUTAMBHAR",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2007-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noushin Parham, J.D.
• Rujuta Parikh
• Amy Maria Starlight Parsons, M.S. CCC/SLP
• Susan Mojdeh Partovi, M.D.
• Passages Malibu PHP, LLC (Passages Venice)
• Oshgene Patterson
• Eric Paulson
• Joel Perez Jr.
• Victor Hugo Perez, M.D.
• Lea Nicole Perry, LMFT

• Chiropractor in Venice, CA
• Providers in Venice, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; 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.