Individual provider Active NPI

Sejal Jaya Patel, DDS

  • General Practice Dentistry
  • Oxnard, CA
National Provider Identifier
1700484938
Registry record updated Oct 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
105695 Issued in CA
Practice address
3700 Saviers Rd
Oxnard, CA 93033-6433
Phone
(805) 486-6305
NPI assigned
Oct 10, 2020
Last updated
Oct 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 105695 CA Primary

Addresses

Primary practice location

3700 Saviers Rd
Oxnard, CA 93033-6433

Mailing address

2033 Waterside Cir
Westlake Village, CA 91362-5156
Phone (805) 728-5105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
105695CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mario Amidi Dental Group Inc General Practice CurrentSince Jun 18, 2023 Accepting new patients
Dilip M Patel DDS Inc PastSince Oct 19, 2020 Accepting new patients

Locations

3700 Saviers Rd
Oxnard, CA 93033
Phone (805) 486-6305

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1602288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602288000000",
    "number": "1700484938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2033 WATERSIDE CIR",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913625156",
            "telephone_number": "805-728-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 SAVIERS RD",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930336433",
            "telephone_number": "805-486-6305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SEJAL",
        "middle_name": "JAYA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-10",
        "last_updated": "2020-10-10",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "105695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.