Individual provider Active NPI

Anish Jagdish Patel, M.D.

  • Diagnostic Radiology Physician
  • Northridge, CA
National Provider Identifier
1710243209
Registry record updated Aug 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A149077 Issued in CA
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

Updated by the provider on Aug 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 GroupGroup PAC ID 7113953159, 8 clinicians

Practice addresses (Care Compare)

3630 E Imperial Hwy
Lynwood, CA 90262-2609
Phone (310) 603-6209

Hospital & facility affiliations

  • Saint Francis Medical Center Hospital, Lynwood, CA, CCN 050104
  • Centinela Hospital Medical Center Hospital, Inglewood, CA, CCN 050739
  • Martin Luther King, Jr. Community Hospital Hospital, Los Angeles, CA, CCN 050779

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
99.13
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A149077CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Francis Radiology Medical Group Diagnostic Radiology CurrentSince Jun 3, 2024 Accepting new patients
Antelope Valley Outpatient Imaging Center, LLC Diagnostic Radiology CurrentSince Apr 1, 2021 Accepting new patients
Renaissance Imaging Medical Associates, Inc. Diagnostic Radiology CurrentSince Aug 18, 2018 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.

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": "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

Verify at the official NPI Registry.