Individual provider Active NPI

Jaimin Naren Patel, PHARMACIST

  • Pharmacist
  • Victorville, CA
National Provider Identifier
1801569397
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
83692 Issued in CA
Practice address
12401 Hesperia Rd Ste 3
Victorville, CA 92395-5844
Phone
(760) 552-7200
NPI assigned
Jul 29, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 83692 CA Primary

Addresses

Primary practice location

12401 Hesperia Rd Ste 3
Victorville, CA 92395-5844

Mailing address

960 Hyde Park CT
Corona, CA 92881-6620
Phone (951) 588-4894

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

State licenses

LicenseStateTypeSpecialty
83692CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Unicare Health Inc CurrentSince Oct 6, 2024 Accepting new patients
Unicare Health Inc PastSince Aug 1, 2021 Accepting new patients

Locations

12401 Hesperia Rd
Ste 3
Victorville, CA 92395
Phone (760) 552-7200

Organizations & group practices 2

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": "1627516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1801569397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 HYDE PARK CT",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928816620",
            "telephone_number": "951-588-4894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12401 HESPERIA RD STE 3",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923955844",
            "telephone_number": "760-552-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JAIMIN",
        "middle_name": "NAREN",
        "name_prefix": "Mr.",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-29",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "83692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; 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.