Active NPI
Kavita Patel
- Occupational Therapist
- San Jose, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 23802
- Practice address
- 2262 N 1St St
San Jose, CA 95131-2022 - Phone
- (408) 337-2727
- NPI assigned
- Feb 28, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Occupational Therapist | 225X00000X | 23802 | CA | Primary |
Addresses
Primary practice location
2262 N 1St St
San Jose, CA 95131-2022
Mailing address
39420 Liberty St Ste 150
Fremont, CA 94538-2284
Phone (510) 794-5155
Other practice location 1
39420 Liberty St Ste 150
Fremont, CA 94538-2284
Phone (510) 794-5155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5820 Owens Dr BLDG E 2ND Floor
Pleasanton, CA 94588-3900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23802 | CA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Permanente Medical Group Inc | Current | Accepting new patients | |
| JLD Therapy, PC | Occupational Therapist | Current | Accepting new patients |
| Permanente Medical Group Inc | Current | Accepting new patients | |
| Permanente Medical Group, Inc | Current | Accepting new patients | |
| Center for Speech, Language and Occupational Therapy a Prof Corp | Occupational Therapist | Past | Accepting new patients |
| Joy & Laughter Developmental Therapy | Past | Accepting new patients |
Locations
750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131
4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738
900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014
101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
930 W Main St
Ripon, CA 95366
Phone (209) 599-4221
501 J St
Sacramento, CA 95814
Phone (916) 497-3000
801 Traeger Ave
Ste 304
San Bruno, CA 94066
Phone (650) 438-2158
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
2262 N 1st St
San Jose, CA 95131
Phone (408) 337-2727
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Santa Clara, CA
- NPI 1073606299
-
- Occupational Therapist
- San Jose, CA
- NPI 1366804718
-
- Internal Medicine Physician
- Richmond, CA
- NPI 1235226531
-
- Clinical Medical Laboratory
- San Jose, CA
- NPI 1497971584
-
- Speech-Language Pathologist
- Fremont, CA
- NPI 1629120068
Occupational Therapist
-
- Early Intervention Provider Agency
- Santa Clara, CA
- NPI 1942622485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668643200000",
"number": "1578065199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39420 LIBERTY ST STE 150",
"city": "FREMONT",
"state": "CA",
"postal_code": "945382284",
"telephone_number": "510-794-5155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2262 N 1ST ST",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951312022",
"telephone_number": "408-337-2727"
}
],
"practiceLocations": [
{
"address_1": "39420 Liberty St Ste 150",
"address_purpose": "LOCATION",
"city": "Fremont",
"state": "CA",
"postal_code": "945382284",
"country_code": "US",
"telephone_number": "510-794-5155",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "KAVITA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-28",
"last_updated": "2022-11-17",
"certification_date": "2022-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "23802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.