Active NPI
Neelam Patel
- Physician Assistant
- La Mirada, CA
National Provider Identifier
1629788302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 15625 Imperial Hwy
La Mirada, CA 90638-1627 - Phone
- (562) 902-3000
- Fax
- (562) 943-9593
- NPI assigned
- Dec 2, 2022
- Last updated
- Aug 6, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | CA | Primary |
Addresses
Primary practice location
15625 Imperial Hwy
La Mirada, CA 90638-1627
Mailing address
15625 Imperial Hwy
La Mirada, CA 90638-1627
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) |
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62402 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imperial Primary Care Medical Group | Current | Accepting new patients | |
| Kimiko Miller, Physician Assistant,Inc | Past | Accepting new patients |
Locations
15625 Imperial Hwy
La Mirada, CA 90638
Phone (562) 902-3000
Interoperability endpoints
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10008746
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.
-
dba Sunny Hills Urgent Care
- Internal Medicine Physician
- Fullerton, CA
- NPI 1750008017
-
- Family Medicine Physician
- La Mirada, CA
- NPI 1598893455
-
- Health Service Clinic/Center
- Placentia, CA
- NPI 1457199572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785974400000",
"number": "1629788302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15625 IMPERIAL HWY",
"city": "LA MIRADA",
"state": "CA",
"postal_code": "906381627",
"fax_number": "562-943-9593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15625 IMPERIAL HWY",
"city": "LA MIRADA",
"state": "CA",
"postal_code": "906381627",
"telephone_number": "562-902-3000",
"fax_number": "562-943-9593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "NEELAM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-02",
"last_updated": "2026-08-06",
"certification_date": "2026-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "15625 Imperial Hwy",
"city": "LA Mirada",
"state": "CA",
"country_code": "US",
"postal_code": "906381627",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in La Mirada, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.