Individual provider Active NPI

Avan M Patel, MD

  • Internal Medicine Physician
  • Camarillo, CA
National Provider Identifier
1700855145
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A101189 Issued in CA
Practice address
5051 Verdugo Way Ste 100
Camarillo, CA 93012-8681
Phone
(805) 384-8071
Fax
(805) 897-1927
NPI assigned
Mar 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X A101189 CA
Internal Medicine Physician 207R00000X A101189 CA Primary

Addresses

Primary practice location

5051 Verdugo Way Ste 100
Camarillo, CA 93012-8681

Mailing address

3400 Data Dr
Rancho Cordova, CA 95670-7956
Phone (916) 851-2462

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080702000501 CA Practitioner - Internal MedicinePractitioner - Geriatric Medicine 8628023470 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dignity Health Medical FoundationGroup PAC ID 7810800661, 1,211 clinicians

Practice addresses (Care Compare)

5051 Verdugo Way
Suite 100
Camarillo, CA 93012-8681
Phone (805) 384-8071

Hospital & facility affiliations

  • Mission Home Health of Ventura, LLC Home health agency, Oxnard, CA, CCN 557219
  • Los Robles Healthcare Home health agency, Thousand Oaks, CA, CCN 058059
  • Livingston Memorial Visiting Nurse Association Home health agency, Ventura, CA, CCN 057040
  • Buena Vista Palliative Care & Home Health Home health agency, Thousand Oaks, CA, CCN 557165
  • Assisted Home Care Home health agency, Ventura, CA, CCN 058039
  • St Johns Regional Medical Center Hospital, Oxnard, CA, CCN 050082
  • Community Memorial Hospital - Ventura Hospital, Ventura, CA, CCN 050394
  • Northridge Hospital Medical Center Hospital, Northridge, CA, CCN 050116
  • Adventist Health Simi Valley Hospital, Simi Valley, CA, CCN 050236
  • Stratford Manor Rehabilitation and Care Center Nursing home, West Orange, NJ, CCN 315066

Merit-based Incentive Payment System (MIPS)

Final score
31.84 of 100Reported as individual
Quality
24.48
Improvement activities
0
Cost
68.3

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A101189CAMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Medical Foundation CurrentSince Jul 7, 2024 Accepting new patients
Dignity Health Medical Foundation CurrentSince Jul 7, 2024 Accepting new patients
Dignity Health Medical Foundation Current Accepting new patients
Hemant G Patel MD PA Past Accepting new patients
Kaiser Chiropractic Center, Inc PastSince Nov 14, 2009 Accepting new patients

Locations

5051 Verdugo Way
Ste 100
Camarillo, CA 93012

1700 N Rose Ave
Ste 350
Oxnard, CA 93030
Phone (805) 485-7877

3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726

Interoperability endpoints

  • Direct secure messaging: alamarhealthcareinc.avanpatel@alamar.ssdirect.aprima.com

Organizations & group practices 5

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.

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1700855145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956",
            "telephone_number": "916-851-2462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5051 VERDUGO WAY STE 100",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930128681",
            "telephone_number": "805-384-8071",
            "fax_number": "805-897-1927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "AVAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A101189",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A101189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

Verify at the official NPI Registry.