Medha Patel Desai, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

63785 Issued in CA

Practice address

2380 Monument Blvd Ste F
Pleasant Hill, CA 94523-3972

Phone

(925) 363-4455

NPI assigned

Sep 25, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Medha Patel Former name

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Eva Bender Dental Corporation

  • General Practice Dentistry
  • Pleasant Hill, CA
  • NPI 1639465594
  NPD (past)

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

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416182400000",
    "number": "1720480338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2095 JACKSON ST APT 103",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941092806",
            "telephone_number": "805-215-2968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 MONUMENT BLVD STE F",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945233972",
            "telephone_number": "925-363-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "MEDHA",
        "middle_name": "PATEL",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-25",
        "last_updated": "2014-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "63785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEDHA",
            "last_name": "PATEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Adriana Davalos-Alejandre
• Jonta La'Ron Davenport
• Hadley Allene Davis
• Kailey Nicole Davis, M.A. SLP
• DC Atkinson DC Inc
• Rujul Rakeshkumar Desai, MD
• Nicole Denise Loggins Desamparo, MFTI
• Diablo Digestive Care, Inc.
• Diablo Valley Child Neurology Inc
• Diablo Valley Oncology and Hematology Medical Group, Inc.

• Dentist in Pleasant Hill, CA
• Providers in Pleasant Hill, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.