Organization Active NPI

Arrae Health

  • Internal Medicine Physician
  • Corona, CA
National Provider Identifier
1841911773
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ARRAE HEALTH
Practice address
802 Magnolia Ave Ste 205
Corona, CA 92879-3144
Phone
(951) 281-2730
Fax
(951) 281-2731
NPI assigned
Sep 8, 2022
Last updated
Nov 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Authorized official

Name
Dr. Garvin Patel, MDNPI 1992932800
Title
Owner
Phone
(951) 281-2730

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 Primary

Addresses

Primary practice location

802 Magnolia Ave Ste 205
Corona, CA 92879-3144

Mailing address

802 Magnolia Ave Ste 205
Corona, CA 92879-3144
Phone (951) 281-2730

Other identifiers 1

IdentifierTypeStateIssuer
1992932800MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221011000886 CA Part B Supplier - Clinic/Group Practice 6103202486 Receives reassigned benefits from 7 practitioners
Practice locations: Corona, CA; Palm Springs, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2299094Arrae Health802 Magnolia Ave Ste 205, Corona, CA 92879Certificate of waiverFeb 12, 2028

National Provider Directory

National Provider Directory

Locations

777 E Tahquitz Canyon Way
Ste 333
Palm Springs, CA 92262

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 7

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": "1662595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667520000000",
    "number": "1841911773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 MAGNOLIA AVE STE 205",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793144",
            "telephone_number": "951-281-2730",
            "fax_number": "951-281-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 MAGNOLIA AVE STE 205",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793144",
            "telephone_number": "951-281-2730",
            "fax_number": "951-281-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARRAE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-08",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "GARVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-281-2730",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992932800",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.