Patel Medical Clinic, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

23373 Issued in AZ

Legal business name

PATEL MEDICAL CLINIC, PLLC

Practice address

1620 E Wilcox Dr
Sierra Vista, AZ 85635-2778

Phone

(520) 459-0362

Fax

(520) 458-1585

NPI assigned

Apr 5, 2010

Last updated

Jul 26, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Santsaran Chandubhai Patel, M.D.NPI 1316960016

Title

President/Ceo

Phone

(520) 459-0362

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Santsaran C Patel, MD

  • Internal Medicine Physician
  • Sierra Vista, AZ
  • NPI 1316960016
  Medicare reassignment NPD Authorized official
• Jesus M Arballo, FNP-BC

  • Family Nurse Practitioner
  • Sierra Vista, AZ
  • NPI 1053887133
  Medicare reassignment NPD
• April Claudine Going, AGPCNP

  • Gerontology Nurse Practitioner
  • Sierra Vista, AZ
  • NPI 1700363991
  Medicare reassignment NPD

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

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280102400000",
    "number": "1720303563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 E WILCOX DR",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352778",
            "telephone_number": "520-459-0362",
            "fax_number": "520-458-1585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 E WILCOX DR",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352778",
            "telephone_number": "520-459-0362",
            "fax_number": "520-458-1585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATEL MEDICAL CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-05",
        "last_updated": "2010-07-26",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SANTSARAN",
        "authorized_official_middle_name": "CHANDUBHAI",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "520-459-0362",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "23373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda R Parker, LPC
• Matthew Parker, DO
• Laurie Parks
• Noemi Pasaret
• Alyxandria Ann Paslay-Bennett, LCSW
• Bindi Narendra Patel, DDS
• Parag Rasik Patel, M.D.
• Santsaran C Patel, MD
• Pathlab Inc
• Gwynn R Patterson, MD

• Internal Medicine Physician in Sierra Vista, AZ
• Providers in Sierra Vista, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.