Organization Active NPI

Trisha C. Patel MD Inc

  • Pain Medicine (Anesthesiology) Physician
  • Anaheim, CA
National Provider Identifier
1558818179
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
A125677 Issued in CA
Legal business name
TRISHA C. PATEL MD INC
Practice address
5475 E la Palma Ave Ste 202
Anaheim, CA 92807-2075
Phone
(949) 396-0501
Fax
(714) 829-3404
NPI assigned
Sep 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Authorized official

Name
Trisha C Patel, MD
Title
Owner
Phone
(850) 316-7376

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X A125677 CA Primary

Addresses

Primary practice location

5475 E la Palma Ave Ste 202
Anaheim, CA 92807-2075

Mailing address

5475 E la Palma Ave Ste 202
Anaheim, CA 92807-2075
Phone (949) 396-0501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20161117002022 CA Part B Supplier - Clinic/Group Practice 1355620196 Receives reassigned benefits from 1 practitioner
Practice locations: Anaheim, CA; Riverside, CA; West Covina, CA
O20190320000377 CA DME Supplier - Physician - General Surgery 1355620196 Practice locations: Anaheim, CA

National Provider Directory

National Provider Directory

Locations

2155 Chicago Ave
Ste 300
Riverside, CA 92507
Phone (949) 396-0501

222 N Sunset Ave
Ste D
West Covina, CA 91790
Phone (626) 671-6100

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1558818179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5475 E LA PALMA AVE STE 202",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928072075",
            "telephone_number": "949-396-0501",
            "fax_number": "714-829-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5475 E LA PALMA AVE STE 202",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928072075",
            "telephone_number": "949-396-0501",
            "fax_number": "714-829-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISHA C. PATEL MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "TRISHA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-316-7376",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A125677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.