Individual provider Active NPI

Sahil Hitesh Patadia, DDS

  • Endodontics
  • Lake Forest, CA
National Provider Identifier
1669125746
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DDS107221 Issued in CA
Practice address
200 Finch
Lake Forest, CA 92630-1436
Phone
(951) 541-4736
NPI assigned
Jan 30, 2022
Last updated
Jan 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DDS107221 CA
Endodontics 1223E0200X DDS107221 CA Primary

Addresses

Primary practice location

200 Finch
Lake Forest, CA 92630-1436

Mailing address

200 Finch
Lake Forest, CA 92630-1436
Phone (951) 541-4736

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231017003764 CA Order and Referring Only - DentistPractitioner - Dentist 3375998966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DDS107221CAMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1643500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1669125746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 FINCH",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301436",
            "telephone_number": "951-541-4736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 FINCH",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301436",
            "telephone_number": "951-541-4736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATADIA",
        "first_name": "SAHIL",
        "middle_name": "HITESH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-30",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS107221",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "DDS107221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, CA

Sources for this page

Verify at the official NPI Registry.