Sheena Patel

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

108264 Issued in CA

Practice address

11208 Glenoaks Blvd
Pacoima, CA 91331-1620

Phone

(805) 908-2635

NPI assigned

Feb 3, 2023

Last updated

Feb 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ahuja Bristol Dental Inc

  • Dentist
  • Culver City, CA
  • NPI 1285524603
  NPD (past)

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

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1588360234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11208 GLENOAKS BLVD",
            "city": "PACOIMA",
            "state": "CA",
            "postal_code": "913311620",
            "telephone_number": "818-890-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11208 GLENOAKS BLVD",
            "city": "PACOIMA",
            "state": "CA",
            "postal_code": "913311620",
            "telephone_number": "805-908-2635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6167 Bristol Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Culver City",
            "state": "CA",
            "postal_code": "902306616",
            "country_code": "US",
            "telephone_number": "310-734-4547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHEENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-03",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "108264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Park, PHARMD, RPH
• Justin Hilliard Parkinson
• Aneka Ashok Patel, RDH
• Ashok Raman Patel, DDS
• Rikesh Patel, DDS
• Tarun Ballubhai Patel, DDS
• Andrew Patino
• Amy Elizabeth Paz
• Dalila Paz
• Arash S Pazooki

• General Practice Dentistry in Pacoima, CA
• Providers in Pacoima, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.