Organization Active NPI

Neeraj Patel MD Inc

  • Internal Medicine Physician
  • Granada Hills, CA
National Provider Identifier
1679271704
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NEERAJ PATEL MD INC
Practice address
10605 Balboa Blvd Ste 260
Granada Hills, CA 91344-6353
Phone
(818) 831-8999
Fax
(818) 831-8990
NPI assigned
Feb 17, 2023
Last updated
Aug 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Authorized official

Name
Neeraj Patel, MDNPI 1679830756
Title
Owner
Phone
(818) 831-8999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

10605 Balboa Blvd Ste 260
Granada Hills, CA 91344-6353

Mailing address

10605 Balboa Blvd Ste 260
Granada Hills, CA 91344-6353
Phone (818) 831-8999

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230411001415 CA Part B Supplier - Clinic/Group Practice 4183099856 Receives reassigned benefits from 1 practitioner
Practice locations: Granada Hills, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1676592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1679271704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10605 BALBOA BLVD STE 260",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446353",
            "telephone_number": "818-831-8999",
            "fax_number": "818-831-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10605 BALBOA BLVD STE 260",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446353",
            "telephone_number": "818-831-8999",
            "fax_number": "818-831-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEERAJ PATEL MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-17",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NEERAJ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-831-8999",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granada Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.