Shirish B. Patel M.D. Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A40789 Issued in CA

Legal business name

SHIRISH B. PATEL M.D. INC

Practice address

3650 South St Ste 106
Lakewood, CA 90712-1532

Phone

(562) 925-7401

Fax

(310) 554-4045

NPI assigned

Sep 2, 2010

Organization subpart

No

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

Authorized official

Name

Maria Villa

Title

Associate Director of Practice MNGT

Phone

(562) 925-7401

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Ocampo, PA-C

  • Physician Assistant
  • Lakewood, CA
  • NPI 1265782528
  Medicare reassignment Care Compare group
• Shirish Bavajibhai Patel, M.D

  • Internal Medicine Physician
  • Lakewood, CA
  • NPI 1487765376
  Medicare reassignment Care Compare group
• Lawrence Hodor, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lakewood, CA
  • NPI 1235152794
  NPD (past)

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

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743033600000",
    "number": "1942517552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 E. SOUTH ST STE 106",
            "address_2": "SUITE 106",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121532",
            "telephone_number": "562-925-7401",
            "fax_number": "310-554-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 SOUTH ST STE 106",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121532",
            "telephone_number": "562-925-7401",
            "fax_number": "310-554-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRISH B. PATEL M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-02",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A",
        "authorized_official_last_name": "VILLA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR OF PRACTICE MNGT",
        "authorized_official_telephone_number": "562-925-7401"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A40789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seth S. Shimono, DDS
• Constance Shin, LMFT
• Jujin Shin
• Samantha Shinn
• Todd Shiohama, D.C., L.AC
• Cearie Shuler
• Ren Shuo
• Shyam Dahiya MD Inc
• Umar Siddiqui
• Rafik M Sidrak, M.D.

• Internal Medicine Physician in Lakewood, CA
• Providers in Lakewood, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.