Individual provider Active NPI

Swati Panse, MD

  • Pediatrics Physician
  • San Jacinto, CA
National Provider Identifier
1891883674
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
C51794 Issued in CA
Practice address
621 N State St
Suite 3
San Jacinto, CA 92583-6567
Phone
(951) 654-4044
Fax
(951) 654-4144
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X C51794 CA Primary

Addresses

Primary practice location

621 N State St
Suite 3
San Jacinto, CA 92583-6567

Mailing address

621 N State St
Suite 3
San Jacinto, CA 92583-6567
Phone (951) 654-4044

Other names 1

  • Swati Patwardhan Former name

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C51794CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Swati Panse MD Inc Pediatrics Current Accepting new patients

Locations

621 N State St
Ste 3
San Jacinto, CA 92583
Phone (951) 652-6522

621 N State St
San Jacinto, CA 92583
Phone (951) 285-6115

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1891883674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 N STATE ST",
            "address_2": "SUITE 3",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925836567",
            "telephone_number": "951-654-4044",
            "fax_number": "951-654-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 N STATE ST",
            "address_2": "SUITE 3",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925836567",
            "telephone_number": "951-654-4044",
            "fax_number": "951-654-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANSE",
        "first_name": "SWATI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "C51794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SWATI",
            "last_name": "PATWARDHAN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Jacinto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.

Verify at the official NPI Registry.