Individual provider Active NPI

Sapna P Patel, M.D.

  • Pediatrics Physician
  • Pomona, CA
National Provider Identifier
1790973204
Registry record updated Sep 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A56443 Issued in CA
Practice address
1920 N Garey Ave
Pomona, CA 91767-2708
Phone
(909) 622-1235
Fax
(909) 622-1960
NPI assigned
Oct 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A56443 CA Primary

Addresses

Primary practice location

1920 N Garey Ave
Pomona, CA 91767-2708

Mailing address

1920 N Garey Ave
Pomona, CA 91767-2708
Phone (909) 622-1235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A56443CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Antonio Regional Hospital Past Accepting new patients
Coastal Kids, a Professional Medical Corporation Pediatrics Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
Pediatric Medical Associates of Sacramento Inc Pediatrics Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411084800000",
    "number": "1790973204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 N GAREY AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672708",
            "telephone_number": "909-622-1235",
            "fax_number": "909-622-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 N GAREY AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672708",
            "telephone_number": "909-622-1235",
            "fax_number": "909-622-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SAPNA",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-10",
        "last_updated": "2014-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A56443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; 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.