Active NPI
Tejas Patel, MD a Medical Corporation
- Internal Medicine Physician
- Burbank, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A88498
- Legal business name
- TEJAS PATEL, MD A MEDICAL CORPORATION
- Practice address
- 2625 W Alameda Ave
Ste 412
Burbank, CA 91505-4806 - Phone
- (818) 842-6400
- Fax
- (818) 842-9400
- NPI assigned
- Dec 1, 2009
- Last updated
- Oct 2, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tejas Patel, MD
- Title
- President
- Phone
- 81880787020
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A88498 | CA | Primary |
Addresses
Primary practice location
2625 W Alameda Ave
Ste 412
Burbank, CA 91505-4806
Mailing address
10061 Riverside Dr
Ste 167
Toluca Lake, CA 91602-2560
Phone (818) 807-8702
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2625 W Alameda Ave
Ste 412
Burbank, CA 91505
Phone (818) 842-6400
2701 W Alameda Ave
Ste 607
Burbank, CA 91505
Phone (818) 842-1410
4400 W Riverside Dr
Ste 110167
Burbank, CA 91505
Interoperability endpoints
- https://api.platform.athenahealth.com/7103/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Burbank, CA
- NPI 1437125770
-
- Family Nurse Practitioner
- North Hollywood, CA
- NPI 1992249189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259625600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1380672000000",
"number": "1841528957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10061 RIVERSIDE DR",
"address_2": "STE 167",
"city": "TOLUCA LAKE",
"state": "CA",
"postal_code": "916022560",
"telephone_number": "818-807-8702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2625 W ALAMEDA AVE",
"address_2": "STE 412",
"city": "BURBANK",
"state": "CA",
"postal_code": "915054806",
"telephone_number": "818-842-6400",
"fax_number": "818-842-9400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEJAS PATEL, MD A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-01",
"last_updated": "2013-10-02",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "TEJAS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "81880787020",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A88498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.