Individual provider Active NPI

Nishita Somabhai Patel, MD

  • Infectious Disease Physician
  • Pomona, CA
National Provider Identifier
1881691269
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
A113143 Issued in CA
Practice address
795 E 2ND St Ste 5
Pomona, CA 91766-2007
Phone
(909) 706-8332
Fax
(909) 706-3785
NPI assigned
Jun 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X A113143 CA Primary

Addresses

Primary practice location

795 E 2ND St Ste 5
Pomona, CA 91766-2007

Mailing address

795 E. Second Street
Suite 5
Pomona, CA 91766-2007
Phone (909) 706-8332

Other practice location 1

795 E 2nd St
Suite 4
Pomona, CA 91766-2007
Phone (909) 706-3779

Other identifiers 2

IdentifierTypeStateIssuer
DO139YOtherCAMEDICARE SOUTHERN CALIFORNIA
DP139ZOtherCAMEDICARE NORTHERN CALIFORNIA

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
I20101008001158 CA Practitioner - Infectious DiseasePractitioner - Internal Medicine 9032140447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western University of Health SciencesGroup PAC ID 0648208991, 50 clinicians

Practice addresses (Care Compare)

795 E 2ND St
Pomona, CA 91766-2007
Phone (909) 469-8673

Merit-based Incentive Payment System (MIPS)

Final score
86.49 of 100Reported as group
Quality
68.78
Improvement activities
40
Cost
78.85

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A113143CAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western University of Health Sciences CurrentSince Jul 29, 2010 Accepting new patients
Western University of Health Sciences CurrentSince Jul 29, 2010 Accepting new patients
Western University of Health Sciences Infectious Disease Current Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
Memorial Hospital Past Accepting new patients
Healthcare Physicians of Southern Illinois, PC Past Accepting new patients

Locations

795 E 2nd St
Ste 5
Pomona, CA 91766
Phone (909) 706-3877

795 E 2nd St
Ste 4
Pomona, CA 91766
Phone (909) 706-3779

795 E 2nd St
Ste 8
Pomona, CA 91766
Phone (909) 469-8673

8686 Haven Ave
Ste 200
Rancho Cucamonga, CA 91730
Phone (909) 706-3950

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1881691269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 E. SECOND STREET",
            "address_2": "SUITE 5",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917662007",
            "telephone_number": "909-706-8332",
            "fax_number": "909-706-3785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 E 2ND ST STE 5",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917662007",
            "telephone_number": "909-706-8332",
            "fax_number": "909-706-3785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "795 E 2nd St",
            "address_2": "Suite 4",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917662007",
            "country_code": "US",
            "telephone_number": "909-706-3779",
            "fax_number": "909-865-2955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NISHITA",
        "middle_name": "SOMABHAI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A113143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE SOUTHERN CALIFORNIA",
            "identifier": "DO139Y",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NORTHERN CALIFORNIA",
            "identifier": "DP139Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.