Individual provider Active NPI

Gitane Patel, MD

  • Ophthalmology Physician
  • San Diego, CA
National Provider Identifier
1710171434
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A108603 Issued in CA
Practice address
6945 El Cajon Blvd
San Diego, CA 92115-1754
Phone
(619) 697-4600
Fax
(619) 697-2410
NPI assigned
Sep 6, 2007
Last updated
Feb 28, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 2008012513 MO
Ophthalmology Physician 207W00000X A108603 CA Primary

Addresses

Primary practice location

6945 El Cajon Blvd
San Diego, CA 92115-1754

Mailing address

6945 El Cajon Blvd
San Diego, CA 92115-1754
Phone (619) 697-4600

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
I20091023000331 CA Practitioner - Ophthalmology 6002984713 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Chicago College of Medicine and Surgery, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 E California Blvd
Pasadena, CA 91105-3205
Phone (800) 898-2020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery160

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A108603CAMDOphthalmology Physician
2008012513MOMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency and Acute Care Medical Corporation CurrentSince Oct 1, 2014 Accepting new patients
Scripps Health Current Accepting new patients
Retina Institute of California Medical Group, a California Medical Par Ophthalmology CurrentSince Jan 22, 2018 Accepting new patients
Premiere Surgery Center, Inc Past Accepting new patients
Barnes Jewish St Peters Hospital Inc Past Accepting new patients
Mercy Hospitals East Communities Past Accepting new patients
Retina Institute of California Medical Group, a California Medical Par Ophthalmology PastSince Oct 15, 2023 Accepting new patients
Paradise Valley Hospital Past Accepting new patients
Scripps Health Past Accepting new patients

Locations

1620 Alpine Blvd
Ste 117
Alpine, CA 91901
Phone (619) 445-2687

9500 Stockdale Hwy
Ste 108
Bakersfield, CA 93311
Phone (661) 663-8500

11525 Brookshire Ave
Downey, CA 90241
Phone (562) 861-0954

300 S Pierce St
Ste 200
El Cajon, CA 92020
Phone (619) 440-5400

450 Fletcher Pkwy
Ste 112
El Cajon, CA 92020
Phone (619) 440-5400

700 W El Norte Pkwy
Escondido, CA 92026
Phone (760) 738-7830

7339 El Cajon Blvd
Ste A
La Mesa, CA 91942
Phone (619) 722-8460

100 E California Blvd
Pasadena, CA 91105
Phone (626) 568-8838

6945 El Cajon Blvd
San Diego, CA 92115
Phone (619) 697-4600

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: gpatel61424@scrippshlth.medalliesdirect.net
  • FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 9

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362009600000",
    "number": "1710171434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6945 EL CAJON BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921151754",
            "telephone_number": "619-697-4600",
            "fax_number": "619-697-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6945 EL CAJON BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921151754",
            "telephone_number": "619-697-4600",
            "fax_number": "619-697-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "GITANE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-06",
        "last_updated": "2013-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "2008012513",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A108603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.