Active NPI
Mukeshkumar Patel
- Day Training/Habilitation Specialist
- San Lorenzo, CA
National Provider Identifier
1770493611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Day Training/Habilitation Specialist
- Practice address
- 1616 Via Rancho
San Lorenzo, CA 94580-2036 - Phone
- (510) 755-9472
- NPI assigned
- Sep 11, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Day Training/Habilitation Specialist | 373H00000X | CA | Primary |
Addresses
Primary practice location
1616 Via Rancho
San Lorenzo, CA 94580-2036
Mailing address
1616 Via Rancho
San Lorenzo, CA 94580-2036
Phone (510) 755-9472
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789084800000",
"number": "1770493611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1616 VIA RANCHO",
"city": "SAN LORENZO",
"state": "CA",
"postal_code": "945802036",
"telephone_number": "510-755-9472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1616 VIA RANCHO",
"city": "SAN LORENZO",
"state": "CA",
"postal_code": "945802036",
"telephone_number": "510-755-9472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "MUKESHKUMAR",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-09-11",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "373H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Day Training/Habilitation Specialist",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Lorenzo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.