Individual provider Active NPI

Garvin Sidharaj Patel, M.D.

  • Internal Medicine Physician
  • Corona, CA
National Provider Identifier
1992932800
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A126141 Issued in CA
Practice address
802 Magnolia Ave Ste 205
Corona, CA 92879-3144
Phone
(951) 281-2730
NPI assigned
Jun 18, 2009
Last updated
Oct 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X A126141 CA
Internal Medicine Physician 207R00000X A126141 CA Primary

Addresses

Primary practice location

802 Magnolia Ave Ste 205
Corona, CA 92879-3144

Mailing address

802 Magnolia Ave Ste 205
Corona, CA 92879-3144
Phone (951) 281-2730

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL manifestmedex

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
I20140117000507 CA Practitioner - Internal Medicine 4183852262 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Ambulatory Services IncGroup PAC ID 6305291808, 2 clinicians
Providence Healthcare Partners IncGroup PAC ID 2163723610, 26 clinicians
Delta Specialty PartnersGroup PAC ID 0648757591, 2 clinicians
Arrae HealthGroup PAC ID 6103202486, 6 clinicians

Practice addresses (Care Compare)

3975 Jackson St
Suite 105
Riverside, CA 92503-3945
Phone (951) 899-2060

4445 Magnolia Ave
Riverside, CA 92501-4135
Phone (951) 788-3000

802 Magnolia Ave
Suite 205
Corona, CA 92879-3144
Phone (951) 281-2730

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A126141CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delta Specialty Partners CurrentSince Nov 5, 2025 Accepting new patients
Providence Healthcare Partners,, Inc Hospitalist CurrentSince Dec 1, 2015 Accepting new patients
Providence Ambulatory Services Inc Hospitalist CurrentSince Sep 1, 2023 Accepting new patients
Arrae Health Internal Medicine CurrentSince Sep 1, 2022 Accepting new patients
Arrae Health Internal Medicine Past Accepting new patients
Doctors Hospital of Riverside LLC Past Accepting new patients
Arrae Health Past Accepting new patients
Dignity Health Past Accepting new patients
Community Hospital of San Bernardino Past Accepting new patients

Locations

802 Magnolia Ave
Ste 205
Corona, CA 92879
Phone (951) 281-2730

3655 E Ramon Rd
Palm Springs, CA 92264
Phone (760) 327-9400

777 E Tahquitz Canyon Way
Ste 333
Palm Springs, CA 92262

12223 Highland Ave
#106526
Rch Cucamonga, CA 91739

3865 Jackson St
Riverside, CA 92503
Phone (909) 688-2211

3975 Jackson St
Ste 105
Riverside, CA 92503
Phone (951) 359-6030

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1992932800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 MAGNOLIA AVE STE 205",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793144",
            "telephone_number": "951-281-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 MAGNOLIA AVE STE 205",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793144",
            "telephone_number": "951-281-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "GARVIN",
        "middle_name": "SIDHARAJ",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-18",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A126141",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A126141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "manifestmedex",
            "affiliation": "N",
            "address_1": "802 Magnolia Ave Ste 205",
            "city": "Corona",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928793144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

Verify at the official NPI Registry.