Organization Active NPI

Lotus Medical Services Incorporated

  • Family Medicine Physician
  • Yucaipa, CA
National Provider Identifier
1912631086
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LOTUS MEDICAL SERVICES INCORPORATED
Practice address
12047 4TH St
Yucaipa, CA 92399-2735
Phone
(909) 797-5101
NPI assigned
Jul 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Authorized official

Name
Dr. Hetana Patel, MD
Title
Owner
Phone
(408) 504-1051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

12047 4TH St
Yucaipa, CA 92399-2735

Mailing address

4131 S Cardinale Privado Unit 2
Ontario, CA 91762-7560
Phone (408) 504-1051

National Provider Directory

National Provider Directory

Locations

12047 4th St
Yucaipa, CA 92399
Phone (840) 258-0972

NPI Registry JSON

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657670400000",
    "number": "1912631086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 S CARDINALE PRIVADO UNIT 2",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917627560",
            "telephone_number": "408-504-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12047 4TH ST",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923992735",
            "telephone_number": "909-797-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS MEDICAL SERVICES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-13",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "HETANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-504-1051",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yucaipa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.