Organization Active NPI

Renee Patel MD, Incorporated

  • Internal Medicine Physician
  • Downey, CA
National Provider Identifier
1568664985
Registry record updated Feb 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A43090 Issued in CA
Legal business name
RENEE PATEL MD, INCORPORATED
Practice address
8357 Florence Ave
Downey, CA 90240-3928
Phone
(562) 622-2470
Fax
(562) 622-2474
NPI assigned
Jun 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2009

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

Authorized official

Name
Dr. Renuka D Patel, M.D.NPI 1467447904
Title
President
Phone
(562) 622-2470

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A43090 CA Primary

Addresses

Primary practice location

8357 Florence Ave
Downey, CA 90240-3928

Mailing address

8357 Florence Ave
Downey, CA 90240-3928
Phone (562) 622-2470

Other identifiers 2

IdentifierTypeStateIssuer
00A430900MedicaidCA
110017338OtherCAMEDICARE RR

Other names 1

  • RENEE PATEL MD, INCORPORATED Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070809000255 CA Part B Supplier - Clinic/Group Practice 6800987553 Receives reassigned benefits from 2 practitioners
Practice locations: Downey, CA

National Provider Directory

National Provider Directory

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": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235692800000",
    "number": "1568664985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8357 FLORENCE AVE",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902403928",
            "telephone_number": "562-622-2470",
            "fax_number": "562-622-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8357 FLORENCE AVE",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902403928",
            "telephone_number": "562-622-2470",
            "fax_number": "562-622-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEE PATEL MD, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2009-02-27",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RENUKA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-622-2470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A43090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A430900",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "110017338",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RENEE PATEL MD, INCORPORATED",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Downey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2009; 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.