Active NPI
Anish Jagdish Patel, M.D.
- Diagnostic Radiology Physician
- Northridge, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A149077
- Practice address
- 18436 Roscoe Blvd
Northridge, CA 91325 - Phone
- (818) 435-1433
- NPI assigned
- Apr 9, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | A149077 | CA | Primary |
Addresses
Primary practice location
18436 Roscoe Blvd
Northridge, CA 91325
Mailing address
4100 Guardian St Ste 205
Simi Valley, CA 93063-6721
Phone (855) 504-4544
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181017001266 | CA | Practitioner - Diagnostic Radiology | 6709177520 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Tulane University School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Francis Radiology Medical Group
Practice addresses (Care Compare)
3630 E Imperial Hwy
Lynwood, CA 90262-2609
Phone (310) 603-6209
Hospital & facility affiliations
- Saint Francis Medical Center
- Centinela Hospital Medical Center
- Martin Luther King, Jr. Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 99.13
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A149077 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Francis Radiology Medical Group | Diagnostic Radiology | Current | Accepting new patients |
| Antelope Valley Outpatient Imaging Center, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Renaissance Imaging Medical Associates, Inc. | Diagnostic Radiology | Current | Accepting new patients |
Locations
44105 15th St W
Ste 100
Lancaster, CA 93534
Phone (661) 726-6050
3630 E Imperial Hwy
Lynwood, CA 90262
Phone (310) 900-7420
2400 E 4th St
National City, CA 91950
Phone (619) 470-4141
18436 Roscoe Blvd
Northridge, CA 91325
Phone (805) 577-2012
1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616
3865 Jackson St
Riverside, CA 92503
Phone (909) 688-2211
501 Petaluma Ave
Sebastopol, CA 95472
Phone (707) 823-8511
4100 Guardian St
Ste 205
Simi Valley, CA 93063
Phone (805) 522-5940
3291 Loma Vista Rd
Ventura, CA 93003
Phone (805) 652-6000
16850 Bear Valley Rd
Victorville, CA 92395
Phone (760) 241-8222
Organizations & group practices 3
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.
-
- Diagnostic Radiology Physician
- Lynwood, CA
- NPI 1215085618
CA, Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Northridge, CA
- NPI 1487608931
CA, Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Lancaster, CA
- NPI 1376143339
Diagnostic Radiology
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1114367497
Hospital
-
- General Acute Care Hospital
- Lynwood, CA
- NPI 1114547114
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533254400000",
"number": "1710243209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 GUARDIAN ST STE 205",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930636721",
"telephone_number": "855-504-4544",
"fax_number": "805-577-2018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18436 ROSCOE BLVD",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "91325",
"telephone_number": "818-435-1433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "ANISH",
"middle_name": "JAGDISH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-09",
"last_updated": "2018-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A149077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.