Organization Active NPI

Dr. Patel'S Office

  • Pediatric Adolescent Medicine Physician
  • Covina, CA
National Provider Identifier
1861553356
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
Legal business name
DR. PATEL'S OFFICE
Practice address
315 N 3Rd Ave Ste 304
Covina, CA 91723-1916
Phone
(626) 332-2860
Fax
(626) 967-3300
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Pratima Rajendra Patel, MD
Title
Doctor
Phone
(626) 332-2860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X Primary

Addresses

Primary practice location

315 N 3Rd Ave Ste 304
Covina, CA 91723-1916

Mailing address

315 N 3Rd Ave Ste 304
Covina, CA 91723-1916
Phone (626) 332-2860

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861553356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 N 3RD AVE STE 304",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231916",
            "telephone_number": "626-332-2860",
            "fax_number": "626-967-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N 3RD AVE STE 304",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231916",
            "telephone_number": "626-332-2860",
            "fax_number": "626-967-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. PATEL'S OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PRATIMA",
        "authorized_official_middle_name": "RAJENDRA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "626-332-2860",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.