Individual provider Active NPI

Minal Patel

  • Pediatric Nurse Practitioner
  • Clovis, CA
National Provider Identifier
1851819742
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
95006966 Issued in CA
Practice address
726 N Medical Center Dr E Ste 205
Clovis, CA 93611-6886
Phone
(559) 900-3045
NPI assigned
Aug 31, 2017
Last updated
Apr 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 95006966 CA Primary

Addresses

Primary practice location

726 N Medical Center Dr E Ste 205
Clovis, CA 93611-6886

Mailing address

PO Box 28949
Fresno, CA 93729-8949
Phone (559) 228-4200

Other practice location 1

4910 E Ashlan Ave Ste 116
Fresno, CA 93726-3021
Phone (559) 228-2990

Other practice location 2

7235 N 1st St Ste 103
Fresno, CA 93720-2937
Phone (559) 326-2125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
95006966CAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Amar Siddique MD Inc CurrentSince Apr 10, 2022 Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients

Locations

726 N Medical Center Dr E
Ste 205
Clovis, CA 93611
Phone (559) 545-5896

4910 E Ashlan Ave
Ste 116
Fresno, CA 93726
Phone (559) 228-2990

5606 E Kings Canyon Rd
Fresno, CA 93727

7235 N 1st St
Ste 103
Fresno, CA 93720
Phone (559) 432-2600

1521 N Schnoor Ave
Ste 103
Madera, CA 93637

Interoperability endpoints

  • Direct secure messaging: mpatel64031@valleychildrens-prd.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1851819742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28949",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937298949",
            "telephone_number": "559-228-4200",
            "fax_number": "559-224-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 N MEDICAL CENTER DR E STE 205",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936116886",
            "telephone_number": "559-900-3045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4910 E Ashlan Ave Ste 116",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937263021",
            "country_code": "US",
            "telephone_number": "559-228-2990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7235 N 1st St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937202937",
            "country_code": "US",
            "telephone_number": "559-326-2125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MINAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-31",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "95006966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.