Organization Active NPI

Tejas Patel, MD a Medical Corporation

  • Internal Medicine Physician
  • Burbank, CA
National Provider Identifier
1841528957
Registry record updated Oct 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A88498 Issued in CA
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2013

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

Authorized official

Name
Tejas Patel, MDNPI 1437125770
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20100128000511 CA Part B Supplier - Clinic/Group Practice 5496897415 Receives reassigned benefits from 2 practitioners
Practice locations: Burbank, CA

National Provider Directory

National Provider Directory

Locations

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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.