Active NPI
Geeta Jayantilal Patwa, MD
- Internal Medicine Physician
- Pomona, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A40367
- Practice address
- 790 East Bonita Ave
2ND Floor
Pomona, CA 91767-1906 - Phone
- (909) 447-8585
- Fax
- (909) 447-8593
- NPI assigned
- Mar 10, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A40367 | CA | Primary |
Addresses
Primary practice location
790 East Bonita Ave
2ND Floor
Pomona, CA 91767-1906
Mailing address
840 Towne Center Dr
Pomona, CA 91767-5900
Phone (909) 398-1550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A403670 | Medicaid | CA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chaparral Medical Group, Inc. | Current | Accepting new patients | |
| Chaparral Medical Group Inc. | Current | Accepting new patients | |
| Chaparral Medical Group Inc | Internal Medicine | Current | Accepting new patients |
Locations
1801 W Olympic Blvd
Pasadena, CA 91199
840 Towne Center Dr
Pomona, CA 91767
1866 N Orange Grove Ave
Ste 202
Pomona, CA 91767
Phone (909) 623-8796
790 E Bonita Ave
Fl 2
Pomona, CA 91767
Phone (909) 447-8585
10837 Laurel St
Ste 104
Rancho Cucamonga, CA 91730
Phone (909) 581-6732
9190 Haven Ave
Ste 101
Rancho Cucamonga, CA 91730
Phone (909) 581-6732
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 and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Pomona, CA
- NPI 1477733624
-
- Endocrinology, Diabetes & Metabolism Physician
- Pomona, CA
- NPI 1114989241
Internal Medicine
-
- Cardiovascular Disease Physician
- Upland, CA
- NPI 1639869605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536710400000",
"number": "1881662278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 TOWNE CENTER DR",
"city": "POMONA",
"state": "CA",
"postal_code": "917675900",
"telephone_number": "909-398-1550",
"fax_number": "909-398-1488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 EAST BONITA AVE",
"address_2": "2ND FLOOR",
"city": "POMONA",
"state": "CA",
"postal_code": "917671906",
"telephone_number": "909-447-8585",
"fax_number": "909-447-8593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATWA",
"first_name": "GEETA",
"middle_name": "JAYANTILAL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-10",
"last_updated": "2018-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A40367",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A403670",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.