Individual provider Active NPI

Chirag Patel

  • Family Nurse Practitioner
  • Madera, CA
National Provider Identifier
1891160503
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95003438 Issued in CA
Practice address
1130 Country Club Dr Ste E
Madera, CA 93638-2691
Phone
(559) 664-4000
Fax
(559) 675-5224
NPI assigned
Dec 7, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95003438 CA Primary

Addresses

Primary practice location

1130 Country Club Dr Ste E
Madera, CA 93638-2691

Mailing address

1830 Ashlan Ave
Clovis, CA 93611

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq Health Information Exchange (HIE)

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160406001689 CA Practitioner - Nurse Practitioner 6406154574 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Camarena HealthGroup PAC ID 4880584317, 79 clinicians
Permanente Medical Group IncGroup PAC ID 8921910225, 10,928 clinicians

Practice addresses (Care Compare)

344 E 6TH St
Madera, CA 93638-3631
Phone (559) 664-4000

7300 N Fresno St
Fresno, CA 93720-2941
Phone (559) 448-4500

Hospital & facility affiliations

  • Kaiser Foundation Hospital - Fresno Hospital, Fresno, CA, CCN 050710
  • Saint Agnes Medical Center Hospital, Fresno, CA, CCN 050093
  • Madera Community Hospital Hospital, Madera, CA, CCN 050856

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Permanente Medical Group Inc CurrentSince Apr 12, 2022 Accepting new patients
Camarena Health CurrentSince Mar 24, 2018 Accepting new patients
Camarena Health CurrentSince Mar 24, 2018 Accepting new patients
Cep America - California Current Accepting new patients
Cep America-California CurrentSince Apr 1, 2016 Accepting new patients
Cep America - California CurrentSince Apr 1, 2016 Accepting new patients
Permanente Medical Group, Inc CurrentSince Apr 12, 2022 Accepting new patients
Long Term Care Medical Group, Inc CurrentSince Oct 1, 2019 Accepting new patients
Camarena Health Family Current Accepting new patients

Locations

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

925 N Cornelia Ave
Fresno, CA 93706
Phone (559) 275-4785

1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

7300 N Fresno St
Fresno, CA 93720
Phone (207) 448-4500

685 W Alluvial Ave
Ste 103
Fresno, CA 93711
Phone (559) 274-6444

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

344 E 6th St
Madera, CA 93638
Phone (559) 664-4158

1130 Country Club Dr
Ste E
Madera, CA 93638
Phone (559) 673-3297

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

49169 Road 426
Oakhurst, CA 93644
Phone (559) 642-6724

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

1141 Rose Ave
Selma, CA 93662
Phone (559) 790-2800

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834

Interoperability endpoints

  • Direct secure messaging: chirag.patel.1@25900.direct.athenahealth.com

Organizations & group practices 9

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1891160503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 ASHLAN AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "93611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 COUNTRY CLUB DR STE E",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936382691",
            "telephone_number": "559-664-4000",
            "fax_number": "559-675-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "CHIRAG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-07",
        "last_updated": "2023-10-12",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95003438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "7300 N Fresno St",
            "city": "Fresno",
            "state": "CA",
            "country_code": "US",
            "postal_code": "937202941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Madera, CA

Sources for this page

Verify at the official NPI Registry.