Individual provider Active NPI

Mayha Patel

  • Dermatology Physician
  • Torrance, CA
National Provider Identifier
1861881666
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
20A13520 Issued in CA
Practice address
23451 Madison St Ste 330
Torrance, CA 90505-4762
Phone
(310) 375-9994
NPI assigned
Jan 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 20A13520 CA Primary

Addresses

Primary practice location

23451 Madison St Ste 330
Torrance, CA 90505-4762

Mailing address

4939 Kilburn CT
Oak Park, CA 91377-4717

Other practice location 1

886 W Foothill Blvd
Upland, CA 91786-3769
Phone (909) 949-7500

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
I20170720002217 CA Practitioner - Dermatology 3678843877 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
College of Osteo Med of the Pacific at Pomona, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Mayha Patel IncGroup PAC ID 1557778545, 2 clinicians

Practice addresses (Care Compare)

3180 Willow LN
Suite 216
Westlake Village, CA 91361-4941
Phone (805) 491-5992

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions134
Removal or shaving of skin growth1-10
Skin biopsy60

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13520CAMDAddiction (Substance Use Disorder) Counselor
20A13520CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Susan Goodlerner MD Inc Dermatology CurrentSince Jul 25, 2019 Accepting new patients
Dr. Mayha Patel, Inc. Dermatology CurrentSince Apr 15, 2021 Accepting new patients
Csi Medical Group Dermatology CurrentSince Jul 1, 2019 Accepting new patients

Locations

4201 Torrance Blvd
Ste 640
Torrance, CA 90503
Phone (310) 375-9994

23451 Madison St
Ste 330
Torrance, CA 90505
Phone (310) 375-9994

Organizations & group practices 3

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": "1421280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1861881666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4939 KILBURN CT",
            "city": "OAK PARK",
            "state": "CA",
            "postal_code": "913774717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23451 MADISON ST STE 330",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054762",
            "telephone_number": "310-375-9994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "886 W Foothill Blvd",
            "address_purpose": "LOCATION",
            "city": "Upland",
            "state": "CA",
            "postal_code": "917863769",
            "country_code": "US",
            "telephone_number": "909-949-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MAYHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-15",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "20A13520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.