Reenaben Patel MD a Professional Medical Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

REENABEN PATEL MD A PROFESSIONAL MEDICAL CORPORATION

Practice address

36320 Inland Valley Dr Ste 308
Wildomar, CA 92595-7512

Phone

(347) 453-7183

NPI assigned

Mar 11, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Reenaben B PatelNPI 1285049221

Title

Owner

Phone

(347) 453-7183

Specialties & licenses 1

Addresses

Other names 1

• Patel Primary Care Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Reenaben Patel, MD

  • Internal Medicine Physician
  • Wildomar, CA
  • NPI 1285049221
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1741651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745280000000",
    "number": "1891594883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23850 VIA ALISOL",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925623479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36320 INLAND VALLEY DR STE 308",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925957512",
            "telephone_number": "347-453-7183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REENABEN PATEL MD A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-11",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-21",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "REENABEN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-453-7183",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patel Primary Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Patel Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fernanda Ramos
• Talitha Ramos
• Patricia Rantins, RBT
• Alijah Ratliff
• Cynthia Recinto, M.D.
• Dakota Reeves
• Lorena Reindl
• Terri Lynn Reindl
• Justine Reiss, RBT
• Jael Renteria

• Internal Medicine Physician in Wildomar, CA
• Providers in Wildomar, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.