Active NPI
Avani Patel, PA
- Physician Assistant
- Clermont, FL
National Provider Identifier
1881152791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 3725 S Hwy 27 Ste 103
Clermont, FL 34711-7600 - Phone
- (352) 995-6800
- NPI assigned
- Mar 10, 2019
- Last updated
- Aug 17, 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
3725 S Hwy 27 Ste 103
Clermont, FL 34711-7600
Mailing address
4628 Patricia Ann CT
Orlando, FL 32839-1324
Phone (404) 797-0313
Other practice location 1
120 S Spalding Dr Ste 315
Beverly Hills, CA 90212-1836
Phone (310) 659-0500
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
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660694400000",
"number": "1881152791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4628 PATRICIA ANN CT",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328391324",
"telephone_number": "404-797-0313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3725 S HWY 27 STE 103",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347117600",
"telephone_number": "352-995-6800"
}
],
"practiceLocations": [
{
"address_1": "120 S Spalding Dr Ste 315",
"address_purpose": "LOCATION",
"city": "Beverly Hills",
"state": "CA",
"postal_code": "902121836",
"country_code": "US",
"telephone_number": "310-659-0500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "AVANI",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-10",
"last_updated": "2022-08-17",
"certification_date": "2022-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clermont, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.