Active NPI
Maitri Kamleshkumar Patel
- Pharmacist
- Buena Park, CA
National Provider Identifier
1720641020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 80002
- Practice address
- 5400 Lockhaven Dr
Buena Park, CA 90621-1538 - Phone
- (562) 292-5314
- NPI assigned
- Apr 22, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 80002 | CA | Primary |
Addresses
Primary practice location
5400 Lockhaven Dr
Buena Park, CA 90621-1538
Mailing address
5399 W Centinela Ave
Los Angeles, CA 90045-2003
Phone (310) 670-3335
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80002 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS LLC | Past | Accepting new patients | |
| Garfield Beach CVS, L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555891200000",
"number": "1720641020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5399 W CENTINELA AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900452003",
"telephone_number": "310-670-3335",
"fax_number": "310-670-1153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5400 LOCKHAVEN DR",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906211538",
"telephone_number": "562-292-5314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "MAITRI",
"middle_name": "KAMLESHKUMAR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-22",
"last_updated": "2019-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "80002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buena Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.