Organization Active NPI

Nilesh Patel MD

  • Infectious Disease Physician
  • Glendora, CA
National Provider Identifier
1790812972
Registry record updated May 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
A66234 Issued in CA
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

Updated by the provider on May 5, 2011

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)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00A662340MedicaidCA
A066234OtherCACALIFORNIA LICENSE

National Provider Directory

National Provider Directory

Locations

215 S Citrus Ave
#393
Covina, CA 91723

130 W Route 66
Ste 302
Glendora, CA 91740
Phone (626) 914-1514

Interoperability endpoints

  • FHIR API: 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.

Verify at the official NPI Registry.