Individual provider Active NPI

Alyssa Jitendra Patel

  • Physician Assistant
  • West Valley City, UT
National Provider Identifier
1821750225
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
12514921-1206 Issued in UT
Practice address
3737 W 4100 S
West Valley City, UT 84120-5543
Phone
(888) 949-4864
NPI assigned
Oct 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 12514921-1206 UT Primary

Addresses

Primary practice location

3737 W 4100 S
West Valley City, UT 84120-5543

Mailing address

3725 W 4100 S Ste 201
Salt Lake City, UT 84120-6490
Phone (888) 949-4864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211216003066 UT Practitioner - Physician Assistant 5991196420 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

100 S 1000
Tooele, UT 84074-4010
Phone (435) 843-3520

4460 S Highland Dr
Salt Lake City, UT 84124-3550

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
12514921-1206UTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Behavioral Health Incorporated CurrentSince Nov 2, 2021 Accepting new patients
Premier Family Medical - City Center Family Medicine CurrentSince Jun 15, 2022 Accepting new patients

Locations

275 W 200 N
Lindon, UT 84042
Phone (801) 796-1333

6856 S 700 E
Midvale, UT 84047
Phone (801) 743-1720

830 N 2000 W
Pleasant Grv, UT 84062
Phone (801) 756-3511

12427 S Pasture Rd
Ste 104
Riverton, UT 84096
Phone (801) 273-6335

4460 S Highland Dr
Ste 100
Salt Lake City, UT 84124
Phone (801) 273-1085

4460 S Highland Dr
Ste 210
Salt Lake City, UT 84124
Phone (801) 273-6311

1228 S 900 E
Salt Lake Cty, UT 84105
Phone (801) 284-4990

443 S 600 E
Slc, UT 84102
Phone (801) 536-6523

4460 S Highland Dr
Slc, UT 84124
Phone (801) 263-7101

4460 S Highland Dr
Ste 230
Slc, UT 84124
Phone (801) 263-7227

1020 S Main St
Slc, UT 84101
Phone (801) 536-6500

3809 W 6200 S
Taylorsville, UT 84129
Phone (801) 963-4200

100 S 1000 W
Tooele, UT 84074
Phone (435) 843-3520

2948 S Redwood Rd
West Valley City, UT 84119
Phone (801) 263-7172

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1821750225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 W 4100 S STE 201",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841206490",
            "telephone_number": "888-949-4864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 W 4100 S",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841205543",
            "telephone_number": "888-949-4864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ALYSSA",
        "middle_name": "JITENDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "12514921-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Valley City, UT

Sources for this page

Verify at the official NPI Registry.