Individual provider Active NPI

Prakashchandra C Patel, MD

  • Psychiatry Physician
  • Hemet, CA
National Provider Identifier
1790860922
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A32995 Issued in CA
Practice address
395 N San Jacinto St
Suite # B
Hemet, CA 92543-3109
Phone
(951) 929-4612
Fax
(951) 929-5705
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A32995 CA Primary

Addresses

Primary practice location

395 N San Jacinto St
Suite # B
Hemet, CA 92543-3109

Mailing address

395 N San Jacinto St
Suite #B
Hemet, CA 92543-3109
Phone (951) 929-4612

Other identifiers 2

IdentifierTypeStateIssuer
A322995OtherCALICENSE
00A329950-09MedicaidCA

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
I20100827000865 CA Practitioner - PsychiatryPractitioner - Geriatric PsychiatryPractitioner - Addiction Medicine 6103940143 Practice locations: Hemet, CA; Murrieta, CA

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1790860922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 N SAN JACINTO ST",
            "address_2": "SUITE #B",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925433109",
            "telephone_number": "951-929-4612",
            "fax_number": "951-929-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 N SAN JACINTO ST",
            "address_2": "SUITE # B",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925433109",
            "telephone_number": "951-929-4612",
            "fax_number": "951-929-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRAKASHCHANDRA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A32995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A322995",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A329950-09",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

Verify at the official NPI Registry.