Individual provider Active NPI

Varsha Hitesh Patel, MD

  • Child & Adolescent Psychiatry Physician
  • Corona, CA
National Provider Identifier
1962428912
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
A050538 Issued in CA
Practice address
2813 S Main St
Corona, CA 92882-5942
Phone
(951) 273-0608
NPI assigned
Jul 14, 2006
Last updated
May 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A050538 CA
Child & Adolescent Psychiatry Physician 2084P0804X A050538 CA Primary
Geriatric Psychiatry Physician 2084P0805X A050538 CA

Addresses

Primary practice location

2813 S Main St
Corona, CA 92882-5942

Mailing address

127 N McKinley St
Suite# 101
Corona, CA 92879-6563
Phone (951) 278-2600

Other practice location 1

127 N McKinley St
suite# 101
Corona, CA 92879-6563
Phone (951) 278-2600

Other practice location 2

1908 Business Center Dr Ste 220
San Bernardino, CA 92408-3468
Phone (909) 890-5930

Other identifiers 1

IdentifierTypeStateIssuer
00A505382MedicaidCA

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
I20220504001841 CA Practitioner - Psychiatry 7416248653 Reassigns benefits to 2 organizations
Practice locations: Corona, CA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1987
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

127 N McKinley St
Suite 101
Corona, CA 92879-6563
Phone (951) 278-2600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50538CAMDPeriodontist
A050538CAMDGeriatric Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Riverside Current Accepting new patients
Toiyabe Indian Health Project, Inc CurrentSince May 15, 2023 Accepting new patients
County of Riverside CurrentSince Apr 1, 2022 Accepting new patients
Toiyabe Indian Health Project, Inc CurrentSince May 15, 2023 Accepting new patients
County of Riverside CurrentSince Apr 1, 2022 Accepting new patients

Locations

250 N See Vee Ln
Bishop, CA 93514
Phone (760) 873-8461

308 E San Jacinto Ave
Perris, CA 92570
Phone (951) 940-6700

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: varsha.patel.d1.p1@direct.toiyabe.nextgenshare.com
  • Direct secure messaging: vpatel263103@direct.llu.edu

Organizations & group practices 5

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1962428912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 N MCKINLEY ST",
            "address_2": "SUITE# 101",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928796563",
            "telephone_number": "951-278-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2813 S MAIN ST",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928825942",
            "telephone_number": "951-273-0608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "127 N McKinley St",
            "address_2": "suite# 101",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928796563",
            "country_code": "US",
            "telephone_number": "951-278-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1908 Business Center Dr Ste 220",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924083468",
            "country_code": "US",
            "telephone_number": "909-890-5930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "VARSHA",
        "middle_name": "HITESH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A050538",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A050538",
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "CA",
            "license": "A050538",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A505382",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

Verify at the official NPI Registry.