Individual provider Active NPI

Krina Patel

  • Family Nurse Practitioner
  • Alpine, CA
National Provider Identifier
1922711209
Registry record updated Jan 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95023697 Issued in CA
Practice address
1832 Alpine Blvd Ste B
Alpine, CA 91901-2107
Phone
(619) 326-4445
NPI assigned
Jan 2, 2023
Last updated
Jan 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95023697 CA Primary

Addresses

Primary practice location

1832 Alpine Blvd Ste B
Alpine, CA 91901-2107

Mailing address

1832 Alpine Blvd Ste B
Alpine, CA 91901-2107

Other identifiers 1

IdentifierTypeStateIssuer
95023697OtherCACALIFORNIA BOARD OF NURSING

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL kapatel@gwu.edu

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230912000679 CA Practitioner - Nurse Practitioner 8921462854 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
George Washington University School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Somagen Healthcare IncGroup PAC ID 1557530151, 53 clinicians

Practice addresses (Care Compare)

5671 Balboa Ave
San Diego, CA 92111-2705
Phone (858) 800-2880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95023697CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Somagen Healthcare Inc CurrentSince Jan 1, 2025 Accepting new patients
Somagen Healthcare Inc Current Accepting new patients
Mary Gessner-Peterson Medical Group, Inc CurrentSince Jul 18, 2023 Accepting new patients
Somagen Healthcare Inc CurrentSince Jan 1, 2025 Accepting new patients
Somagen Healthcare Inc Past Accepting new patients
Somagen Healthcare Inc Past Accepting new patients
Somagen Healthcare Inc Past Accepting new patients
Somagen Healthcare Inc Past Accepting new patients

Locations

1832 Alpine Blvd
Ste B
Alpine, CA 91901
Phone (619) 326-4445

2710 Alpine Blvd
#434
Alpine, CA 91901

750 Otay Lakes Rd
Chula Vista, CA 91910
Phone (619) 259-9462

760 Otay Lakes Rd
Chula Vista, CA 91910
Phone (619) 821-2300

1740 Rosecrans St
San Diego, CA 92106
Phone (619) 790-7800

5671 Balboa Ave
San Diego, CA 92111
Phone (855) 362-9773

8260 Mira Mesa Blvd
Ste A
San Diego, CA 92126
Phone (855) 362-9773

8590 Rio San Diego Dr
Ste 111
San Diego, CA 92108
Phone (619) 736-4600

Interoperability endpoints

  • Direct secure messaging: krina.patel.1@12903.direct.athenahealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1672617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672617600000",
    "number": "1922711209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1832 ALPINE BLVD STE B",
            "city": "ALPINE",
            "state": "CA",
            "postal_code": "919012107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1832 ALPINE BLVD STE B",
            "city": "ALPINE",
            "state": "CA",
            "postal_code": "919012107",
            "telephone_number": "619-326-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KRINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-02",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95023697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF NURSING",
            "identifier": "95023697",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kapatel@gwu.edu",
            "affiliation": "N",
            "address_1": "1832 Alpine Blvd Ste B",
            "city": "Alpine",
            "state": "CA",
            "country_code": "US",
            "postal_code": "919012107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alpine, CA

Sources for this page

Verify at the official NPI Registry.