Individual provider Active NPI

Sachi Patel

  • Dermatology Physician
  • Poway, CA
National Provider Identifier
1790216182
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A170586 Issued in CA
Practice address
15725 Pomerado Rd Ste 102
Poway, CA 92064-2057
Phone
(619) 267-8303
Fax
(619) 267-4835
NPI assigned
Mar 27, 2017
Last updated
Jan 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Dermatology Physician 207N00000X A170586 CA Primary

Addresses

Primary practice location

15725 Pomerado Rd Ste 102
Poway, CA 92064-2057

Mailing address

PO Box 232410
San Diego, CA 92193-2410

Other practice location 1

1741 E Redfield Rd
Phoenix, AZ 85022-4569
Phone (623) 261-0322

Other practice location 2

200 W Arbor Dr
San Diego, CA 92103-9000
Phone (800) 926-8273

Other practice location 3

655 Euclid Ave Ste 304
National City, CA 91950-2974
Phone (619) 267-8303

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
I20210811001462 CA Practitioner - Dermatology 4789088824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Southern California Keck School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

15725 Pomerado Rd
Suite 102
Poway, CA 92064-2057
Phone (619) 267-8303

Merit-based Incentive Payment System (MIPS)

Final score
90.77 of 100Reported as group
Quality
84.13
Promoting interoperability
100
Improvement activities
40
Cost
73.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions155
Removal or shaving of skin growth1-10
Skin biopsy46

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
William F Resh MD, Skin & Skin Cancer Medical Group of San Diego, Inc. Dermatology CurrentSince Feb 1, 2024 Accepting new patients
William F Resh M.D. Skin & Skin Cancer Medical Group of San Diego, Inc Dermatology CurrentSince Feb 1, 2024 Accepting new patients
Regents of the University of California Past Accepting new patients

Locations

222 W Madison Ave
El Cajon, CA 92020
Phone (619) 579-5115

655 Euclid Ave
Ste 304
National City, CA 91950
Phone (619) 267-8303

15725 Pomerado Rd
Ste 102
Poway, CA 92064
Phone (619) 267-8303

5222 Balboa Ave
Fl 5
San Diego, CA 92117
Phone (619) 267-8303

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1790216182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 232410",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921932410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15725 POMERADO RD STE 102",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642057",
            "telephone_number": "619-267-8303",
            "fax_number": "619-267-4835"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1741 E Redfield Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850224569",
            "country_code": "US",
            "telephone_number": "623-261-0322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 W Arbor Dr",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921039000",
            "country_code": "US",
            "telephone_number": "800-926-8273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "655 Euclid Ave Ste 304",
            "address_purpose": "LOCATION",
            "city": "National City",
            "state": "CA",
            "postal_code": "919502974",
            "country_code": "US",
            "telephone_number": "619-267-8303",
            "fax_number": "619-267-4835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SACHI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-27",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A170586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poway, CA

Sources for this page

Verify at the official NPI Registry.