Poonam Patel

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

95005624 Issued in CA

Practice address

3801 Miranda Ave
Palo Alto, CA 94304

Phone

(650) 493-5000

NPI assigned

Dec 8, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Poonam Gandhi Former name

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1481155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1841734985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 MIRANDA AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 MIRANDA AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "94304",
            "telephone_number": "650-493-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2516 Samaritan Dr",
            "address_2": "Suite M",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951244108",
            "country_code": "US",
            "telephone_number": "408-356-5900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2516 Samaritan Dr",
            "address_2": "Suite M",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951244108",
            "country_code": "US",
            "telephone_number": "408-356-5900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "POONAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-08",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95005624",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95005624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "POONAM",
            "last_name": "GANDHI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kamini Patel, DDS
• Lisa Harshad Patel, MD
• Meeta Raman Patel, PHD, BCBA-D
• Meghna Dehesh Patel, M.D.
• Perseus Vistasp Patel, MD
• Prina Patel, APN, FNP-BC
• Radhika Patel
• Ruby Vishnu Patel, MD
• Rupa Patel, MD
• Sachin Hitesh Patel, MD

• Adult Health Nurse Practitioner in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.