Sanjay Vasangee Patel, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

CA43480 Issued in CA

Practice address

234 N D St
San Bernardino, CA 92401-1702

Phone

(909) 386-7878

Fax

(909) 386-7881

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sanjay V Patel DDS a Dental Corporation

  • Dentist
  • San Bernardino, CA
  • NPI 1356658702
  NPD Authorized official

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1942216809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 N D ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011702",
            "telephone_number": "909-386-7878",
            "fax_number": "909-386-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 N D ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011702",
            "telephone_number": "909-386-7878",
            "fax_number": "909-386-7881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SANJAY",
        "middle_name": "VASANGEE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "CA43480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL BOARD",
            "identifier": "43480",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeleena Sanjay Patel
• Jixaben H Patel, DDS
• Pintu Patel, PA-C
• Rajesh Patel, MD
• Rajvi Patel
• Sapna Y Patel, D.O.
• Sharvani V Patel, PHARM. D
• Shyam P Patel, M.D.
• Siya Patel
• Vijay B. Patel, D.D.S.

• Dentist in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.