Active NPI
Minal Patel
- Pediatric Nurse Practitioner
- Clovis, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 95006966
- 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, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 95006966 | CA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amar Siddique MD Inc | Current | 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
- 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.
-
dba Community Regional Medical Center
- General Acute Care Hospital
- Fresno, CA
- NPI 1104906569
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.