Individual provider Active NPI

Kavita Darji Patel, M.D.

  • Dermatology Physician
  • Laguna Niguel, CA
National Provider Identifier
1558894675
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
187264 Issued in CA
Practice address
30201 Golden Lantern Ste B
Laguna Niguel, CA 92677-5926
Phone
(949) 363-1788
Fax
(949) 363-1607
NPI assigned
Apr 5, 2017
Last updated
May 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Dermatology Physician 207N00000X 187264 CA Primary

Addresses

Primary practice location

30201 Golden Lantern Ste B
Laguna Niguel, CA 92677-5926

Mailing address

12700 Park Central Dr Ste 1210
Dallas, TX 75251-1522

Other practice location 1

3660 Vista Ave
Saint Louis, MO 63110-2540
Phone (314) 977-6100

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240724004143 CA Practitioner - Dermatology 3971871864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Saint Louis University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J Robert West MD IncGroup PAC ID 8729990973, 141 clinicians

Practice addresses (Care Compare)

30201 Golden Lantern
Suite B
Laguna Niguel, CA 92677-5926
Phone (949) 363-1788

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision11
Removal of skin lesions67
Skin biopsy23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
187264CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lorrie J Klein MD Apc Dermatology CurrentSince Jul 1, 2024 Accepting new patients
J Robert West, M.D., Inc Dermatology CurrentSince Jul 1, 2024 Accepting new patients
J. Robert West, M.D., Inc Dermatology Past Accepting new patients

Locations

30201 Golden Lantern
Ste B
Laguna Niguel, CA 92677
Phone (949) 363-1788

400 Newport Center Dr
Ste 702
Newport Beach, CA 92660
Phone (949) 644-0101

12700 Park Central Dr
Ste 1210
Dallas, TX 75251
Phone (702) 360-2763

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1558894675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12700 PARK CENTRAL DR STE 1210",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752511522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30201 GOLDEN LANTERN STE B",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926775926",
            "telephone_number": "949-363-1788",
            "fax_number": "949-363-1607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3660 Vista Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631102540",
            "country_code": "US",
            "telephone_number": "314-977-6100",
            "fax_number": "314-977-6164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KAVITA",
        "middle_name": "DARJI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-05",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "187264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

Verify at the official NPI Registry.