Active NPI
Minal Gorakhnath Patil, DDS
- Dentist
- San Ramon, CA
National Provider Identifier
1982358461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 107302
- Practice address
- 8985 Alcosta Blvd Apt 186
San Ramon, CA 94583-4038 - Phone
- (215) 519-5576
- NPI assigned
- Feb 4, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 107302 | CA | Primary |
Addresses
Primary practice location
8985 Alcosta Blvd Apt 186
San Ramon, CA 94583-4038
Mailing address
8985 Alcosta Blvd Apt 186
San Ramon, CA 94583-4038
Phone (215) 519-5576
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107302 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643932800000",
"number": "1982358461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8985 ALCOSTA BLVD APT 186",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945834038",
"telephone_number": "215-519-5576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8985 ALCOSTA BLVD APT 186",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945834038",
"telephone_number": "215-519-5576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATIL",
"first_name": "MINAL GORAKHNATH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-04",
"last_updated": "2022-02-04",
"certification_date": "2022-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "107302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Ramon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.