Active NPI
Munjal Patel
- Family Nurse Practitioner
- Fontana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95004018
- Practice address
- 7965 Sierra Ave Ste E
Fontana, CA 92336-3329 - Phone
- (909) 923-4595
- NPI assigned
- Apr 8, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95004018 | CA | |
| Family Nurse Practitioner | 363LF0000X | 95004018 | CA | Primary |
Addresses
Primary practice location
7965 Sierra Ave Ste E
Fontana, CA 92336-3329
Mailing address
7965 Sierra Ave
Ste E
Fontana, CA 92336-3329
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1809 W Redlands Blvd
Redlands, CA 92373-8054
Phone (909) 335-3026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95004018 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dap Health, Inc. | Current | Accepting new patients | |
| Inland Psychiatric Medical Group, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Inland Psychiatric Medical Group, Inc. | Psychiatric/Mental Health | Current | Accepting new patients |
| San Marcos Medical Group Inc | Current | Accepting new patients | |
| Inland Psychiatric Medical Group, Inc. | Psychiatric/Mental Health | Current | Accepting new patients |
| Pomona Valley Hospital Medical Center | Past | Accepting new patients | |
| Temecula Valley Hospital Inc | Past | Accepting new patients | |
| Cajon Medical Group, PC | Past | Accepting new patients | |
| Inland Psychiatric Medical Group, Inc. | Nurse Practitioner | Past | Accepting new patients |
Locations
4160 Temescal Canyon Rd
Ste 408
Corona, CA 92883
Phone (951) 344-4451
12442 Limonite Ave
Unit 104
Eastvale, CA 91752
Phone (951) 344-4451
14980 Summit Ave
Ste 230
Fontana, CA 92336
Phone (909) 803-1160
7965 Sierra Ave
Ste E
Fontana, CA 92336
Phone (909) 356-4459
162 N Santa Fe St
Hemet, CA 92543
Phone (951) 506-9522
16279 Walnut St
Hesperia, CA 92345
Phone (760) 243-7700
23100 Eucalyptus Ave
Ste D
Moreno Valley, CA 92553
Phone (619) 881-4516
23110 Atlantic Cir
Ste F
Moreno Valley, CA 92553
Phone (951) 243-6455
73700 Dinah Shore Dr
Ste 106
Palm Desert, CA 92211
Phone (760) 832-6352
8710 Monroe Ct
Ste 150
Rancho Cucamonga, CA 91730
Phone (909) 941-4870
1809 W Redlands Blvd
Redlands, CA 92373
Phone (909) 307-1320
1574 W Base Line St
Ste 107
Sn Bernrdno, CA 92411
Phone (909) 386-1880
742 W Highland Ave
Sn Bernrdno, CA 92405
Phone (909) 881-7320
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- patel.munjal.p1@direct.metro.nextgenshare.com
Organizations & group practices 9
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.
-
- Psychiatry Physician
- Redlands, CA
- NPI 1649217761
Psychiatric/Mental Health
-
- Obstetrics & Gynecology Physician
- Fontana, CA
- NPI 1447446448
-
- Federally Qualified Health Center (FQHC)
- Borrego Springs, CA
- NPI 1134144165
-
- Psychiatry Physician
- Redlands, CA
- NPI 1336977990
Psychiatric/Mental Health
-
- Psychiatry Physician
- Hesperia, CA
- NPI 1588091169
Nurse Practitioner
-
- Internal Medicine Physician
- Temecula, CA
- NPI 1245118082
-
- Psychiatry Physician
- Moreno Valley, CA
- NPI 1427104116
Nurse Practitioner
-
- General Acute Care Hospital
- Pomona, CA
- NPI 1518067586
-
- General Acute Care Hospital
- Temecula, CA
- NPI 1679816201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580774400000",
"number": "1962866624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7965 SIERRA AVE",
"address_2": "STE E",
"city": "FONTANA",
"state": "CA",
"postal_code": "923363329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7965 SIERRA AVE STE E",
"city": "FONTANA",
"state": "CA",
"postal_code": "923363329",
"telephone_number": "909-923-4595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "MUNJAL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-04-08",
"last_updated": "2020-02-04",
"certification_date": "2020-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95004018",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95004018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fontana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.