Organization Active NPI

Ileana Pat Inc

  • Endocrinology, Diabetes & Metabolism Physician
  • West Hills, CA
National Provider Identifier
1578079117
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
A69940 Issued in CA
Legal business name
ILEANA PAT INC
Practice address
22110 Roscoe Blvd Ste 307
West Hills, CA 91304-3860
Phone
(818) 497-7857
Fax
(818) 394-6966
NPI assigned
Dec 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Authorized official

Name
Ileana Pat, M.D.NPI 1598775538
Title
Ceo
Phone
(818) 497-7857

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
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X A69940 CA Primary

Addresses

Primary practice location

22110 Roscoe Blvd Ste 307
West Hills, CA 91304-3860

Mailing address

2475 Garden Falls Dr
Conroe, TX 77384-2122
Phone (818) 497-7857

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190115002425 CA Part B Supplier - Clinic/Group Practice 7214273051 Receives reassigned benefits from 1 practitioner
Practice locations: West Hills, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1513641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1578079117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 GARDEN FALLS DR",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773842122",
            "telephone_number": "818-497-7857",
            "fax_number": "818-394-6966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22110 ROSCOE BLVD STE 307",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913043860",
            "telephone_number": "818-497-7857",
            "fax_number": "818-394-6966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILEANA PAT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-19",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "PAT",
        "authorized_official_first_name": "ILEANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-497-7857",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A69940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.