Active NPI
Nilesh Patel MD
- Infectious Disease Physician
- Glendora, CA
National Provider Identifier
1790812972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- A66234
- Legal business name
- NILESH PATEL MD
- Practice address
- 130 W Route 66
#302
Glendora, CA 91740-6249 - Phone
- (626) 914-1534
- Fax
- (626) 914-1505
- NPI assigned
- Feb 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nilesh N Patel, MD
- Title
- MD
- Phone
- (626) 914-1514
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | A66234 | CA | Primary |
Addresses
Primary practice location
130 W Route 66
#302
Glendora, CA 91740-6249
Mailing address
215 South Citrus Street
# 393
West Covina, CA 91791-2113
Phone (626) 914-1534
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A662340 | Medicaid | CA | |
| A066234 | Other | CA | CALIFORNIA LICENSE |
National Provider Directory
National Provider DirectoryLocations
215 S Citrus Ave
#393
Covina, CA 91723
130 W Route 66
Ste 302
Glendora, CA 91740
Phone (626) 914-1514
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IIAACA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1304553600000",
"number": "1790812972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 SOUTH CITRUS STREET",
"address_2": "# 393",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917912113",
"telephone_number": "626-914-1534",
"fax_number": "626-914-1505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 W ROUTE 66",
"address_2": "#302",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917406249",
"telephone_number": "626-914-1534",
"fax_number": "626-914-1505"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NILESH PATEL MD",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-27",
"last_updated": "2011-05-05",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "NILESH",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "626-914-1514",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": "CA",
"license": "A66234",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A662340",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA LICENSE",
"identifier": "A066234",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendora, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.