Individual provider Active NPI

Ashwinikumar N. Patel, PHYSICAL THERAPIST

  • Physical Therapist
  • Alhambra, CA
National Provider Identifier
1669602124
Registry record updated Jul 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
35782 Issued in CA
Practice address
1901 Garvey Ave
Alhambra, CA 91803-4290
Phone
(562) 229-2361
Fax
(323) 306-5672
NPI assigned
Jul 19, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 35782 CA Primary

Addresses

Primary practice location

1901 Garvey Ave
Alhambra, CA 91803-4290

Mailing address

1901 Garvey Ave
Alhambra, CA 91803-4290
Phone (562) 229-2361

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110414000216 CA Practitioner - Physical Therapist in Private Practice 0345424412 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35782CAMDIndependent Medical Examiner Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Sep 14, 2015 Accepting new patients
Southern California Permanente Medical Group CurrentSince Sep 14, 2015 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Shree Maharshi Dadhichi Physical Therapy and Rehabilitation Physical Therapist CurrentSince Sep 16, 2024 Accepting new patients
Golden Hills Orthopedic and Sports Physical Therapy Inc. Physical Therapist CurrentSince Oct 22, 2018 Accepting new patients
Golden Hills Orthopedic and Sports Physical Therapy Inc. Physical Therapist PastSince Oct 22, 2018 Accepting new patients

Locations

9961 Sierra Ave
Fontana, CA 92335
Phone (909) 427-3910

2680 S White Rd
Ste 200
San Jose, CA 95148
Phone (408) 274-0888

Organizations & group practices 6

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": "1247961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247961600000",
    "number": "1669602124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 GARVEY AVE",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918034290",
            "telephone_number": "562-229-2361",
            "fax_number": "323-306-5672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 GARVEY AVE",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918034290",
            "telephone_number": "562-229-2361",
            "fax_number": "323-306-5672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ASHWINIKUMAR",
        "middle_name": "N.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-19",
        "last_updated": "2009-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "35782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2009; 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.