Individual provider Active NPI

Munjal Patel

  • Family Nurse Practitioner
  • Fontana, CA
National Provider Identifier
1962866624
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95004018 Issued in CA
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

Updated by the provider on Feb 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161221000167 CA Practitioner - Nurse Practitioner 3274814777 Reassigns benefits to 2 organizations

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
Inland Psychiatric Medical Group IncGroup PAC ID 9436062312, 119 clinicians

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

LicenseStateTypeSpecialty
95004018CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dap Health, Inc. Current Accepting new patients
Inland Psychiatric Medical Group, Inc. Nurse Practitioner CurrentSince Jan 29, 2020 Accepting new patients
Inland Psychiatric Medical Group, Inc. Psychiatric/Mental Health CurrentSince Jan 29, 2020 Accepting new patients
San Marcos Medical Group Inc CurrentSince Aug 7, 2019 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 PastSince Apr 6, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.