Active NPI
David Anthony Patella, M.D.
- Internal Medicine Physician
- Rocklin, CA
National Provider Identifier
1952331720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G0048078
- Practice address
- 4770 Rocklin Rd
Suite 2
Rocklin, CA 95677-3334 - Phone
- (916) 624-3358
- Fax
- (916) 624-3387
- NPI assigned
- Jul 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G0048078 | CA | Primary |
Addresses
Primary practice location
4770 Rocklin Rd
Suite 2
Rocklin, CA 95677-3334
Mailing address
4770 Rocklin Rd
Suite 2
Rocklin, CA 95677-3334
Phone (916) 624-3358
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051014000846 | CA | Practitioner - Internal Medicine | 2466478805 | Practice locations: Rocklin, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G0048078 | CA | MD | Internal Medicine Physician |
| 48078 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952331720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4770 ROCKLIN RD",
"address_2": "SUITE 2",
"city": "ROCKLIN",
"state": "CA",
"postal_code": "956773334",
"telephone_number": "916-624-3358",
"fax_number": "916-624-3387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4770 ROCKLIN RD",
"address_2": "SUITE 2",
"city": "ROCKLIN",
"state": "CA",
"postal_code": "956773334",
"telephone_number": "916-624-3358",
"fax_number": "916-624-3387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATELLA",
"first_name": "DAVID",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G0048078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rocklin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.