Individual provider Active NPI

Upendra Patel, DDS, INC.

  • Dentist
  • Sacramento, CA
National Provider Identifier
1649337270
Registry record updated Jul 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
53848 Issued in CA
Practice address
3960 El Camino Ave
Suite 2
Sacramento, CA 95821-6534
Phone
(415) 690-6683
NPI assigned
Jan 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 53848 CA Primary

Addresses

Primary practice location

3960 El Camino Ave
Suite 2
Sacramento, CA 95821-6534

Mailing address

3960 El Camino Ave
Suite 2
Sacramento, CA 95821-6534
Phone (415) 690-6683

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 13, 2015 through Oct 13, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
53848CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Upendra J Patel DDS Inc Dentist Current Accepting new patients

Locations

3960 El Camino Ave
Ste 2
Sacramento, CA 95821
Phone (415) 690-6683

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405728000000",
    "number": "1649337270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 EL CAMINO AVE",
            "address_2": "SUITE 2",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958216534",
            "telephone_number": "415-690-6683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 EL CAMINO AVE",
            "address_2": "SUITE 2",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958216534",
            "telephone_number": "415-690-6683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "UPENDRA",
        "name_prefix": "Dr.",
        "credential": "DDS, INC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2014-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "53848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.