Individual provider Active NPI

Yogesh Mathurbhai Patel, MD

  • Nephrology Physician
  • Moreno Valley, CA
National Provider Identifier
1912944653
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A49192 Issued in CA
Practice address
22555 Alessandro Blvd
Suite B
Moreno Valley, CA 92553-8533
Phone
(951) 656-7081
Fax
(951) 656-1710
NPI assigned
Jun 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A49192 CA Primary

Addresses

Primary practice location

22555 Alessandro Blvd
Suite B
Moreno Valley, CA 92553-8533

Mailing address

3660 Park Sierra Dr Ste 203
Riverside, CA 92505-3071
Phone (951) 687-3400

Other identifiers 2

IdentifierTypeStateIssuer
00A491920MedicaidCA
390004311OtherCAMEDICARE RAILROAD

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080425000340 CA Practitioner - Nephrology 9638089550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates Medical Group IncGroup PAC ID 5092604447, 64 clinicians

Practice addresses (Care Compare)

22555 Alessandro Blvd
Suite B
Moreno Valley, CA 92553-8533
Phone (951) 656-7081

Hospital & facility affiliations

  • DaVita Valley View Dialysis Dialysis facility, Moreno Valley, CA, CCN 052807
  • DaVita Canyon Springs Dialysis Dialysis facility, Moreno Valley, CA, CCN 552622
  • DaVita Menifee Home Dialysis Dialysis facility, Menifee, CA, CCN 552780
  • DaVita Riverside Mission Home Training Dialysis facility, Riverside, CA, CCN 552627
  • Riverside University Health System-Medical Center Hospital, Moreno Valley, CA, CCN 050292

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A49192CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates Medical Group Inc Nephrology CurrentSince Oct 1, 2007 Accepting new patients
Doctors Hospital of Riverside LLC Past Accepting new patients
Temecula Valley Hospital Inc Past Accepting new patients
Primecare Medical Group Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
Nephrology Associates Medical Group, Inc. PastSince Aug 15, 2021 Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients

Locations

26900 Cactus Ave
#B
Moreno Valley, CA 92555
Phone (951) 485-3180

22555 Alessandro Blvd
Ste B
Moreno Valley, CA 92553
Phone (951) 656-1660

3660 Park Sierra Dr
Ste 208
Riverside, CA 92505
Phone (951) 687-2800

3660 Park Sierra Dr
Ste 203
Riverside, CA 92505
Phone (951) 687-3400

4100 Latham St
Ste A
Riverside, CA 92501
Phone (951) 248-1291

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ypatel101031@direct.llu.edu
  • Direct secure messaging: yogesh.patel.1@19859.direct.athenahealth.com

Organizations & group practices 7

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 4

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1912944653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 PARK SIERRA DR STE 203",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925053071",
            "telephone_number": "951-687-3400",
            "fax_number": "951-687-8923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22555 ALESSANDRO BLVD",
            "address_2": "SUITE B",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925538533",
            "telephone_number": "951-656-7081",
            "fax_number": "951-656-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "YOGESH",
        "middle_name": "MATHURBHAI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A49192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A491920",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "390004311",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

Verify at the official NPI Registry.