Individual provider Active NPI

Tasneem Patel, DO

  • Family Medicine Physician
  • La Mesa, CA
National Provider Identifier
1861532392
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A8581 Issued in CA
Practice address
8900 Grossmont Blvd Ste 4-7
La Mesa, CA 91941-4047
Phone
(619) 786-0597
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A8581 CA Primary

Addresses

Primary practice location

8900 Grossmont Blvd Ste 4-7
La Mesa, CA 91941-4047

Mailing address

8900 Grossmont Blvd Ste 4-7
La Mesa, CA 91941-4047
Phone (619) 786-0597

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031124000525 CA Practitioner - Family Practice 5597669259 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern California Permanente Medical GroupGroup PAC ID 6002729175, 11,250 clinicians

Practice addresses (Care Compare)

4405 Vandever Ave
San Diego, CA 92120-3315
Phone (619) 516-6606

4647 Zion Ave
San Diego, CA 92120-2507
Phone (619) 528-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince May 3, 2025 Accepting new patients
Southern California Permanente Medical Group CurrentSince May 3, 2025 Accepting new patients
Direct Medical Ventures Inc. CurrentSince Apr 1, 2023 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Office of Patricia K. Deckert, DO Past Accepting new patients
How Medical Apc Past Accepting new patients

Locations

1835 Newport Blvd
Ste A106
Costa Mesa, CA 92627
Phone (949) 200-6001

8911 La Mesa Blvd
Ste 101
La Mesa, CA 91942
Phone (619) 713-5540

25301 Cabot Rd
Ste 103
Laguna Hills, CA 92653
Phone (877) 381-4115

393 E Walnut St
Unit 3RD
Pasadena, CA 91188
Phone (626) 405-7914

2667 Camino del Rio S
Ste 108
San Diego, CA 92108
Phone (619) 848-7043

4647 Zion Ave
San Diego, CA 92120
Phone (619) 528-3038

44045 Margarita Rd
Ste 203
Temecula, CA 92592
Phone (877) 381-4115

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1861532392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 GROSSMONT BLVD STE 4-7",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919414047",
            "telephone_number": "619-786-0597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 GROSSMONT BLVD STE 4-7",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919414047",
            "telephone_number": "619-786-0597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "TASNEEM",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2024-12-30",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A8581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "4647 Zion Ave",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921202507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.