Active NPI
Swati Panse, MD
- Pediatrics Physician
- San Jacinto, CA
National Provider Identifier
1891883674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- C51794
- 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
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 |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| C51794 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Pediatrics Physician
- San Jacinto, CA
- NPI 1154525335
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.