Provider Type Icon

DOCS FOR(4) KIDS MEDICAL OFFICE NPI 1972959898


NPI Information

NPI: 1972959898
Provider Name: DOCS FOR(4) KIDS MEDICAL OFFICE

Doing Business As: HITESH D PATEL/SANGEETA H PATEL,MDS

Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

CLIA Number: 05D0708721

Address:
13372 NEWPORT AVE
SUITE B
TUSTIN, CA
ZIP 92780
Phone: (714) 544-3430
Get Directions

DOCS FOR(4) KIDS MEDICAL OFFICE is an adolescent medicine pediatrics in Tustin, CA. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. DOCS FOR(4) KIDS MEDICAL OFFICE NPI is 1972959898. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Hitesh D Patel/sangeeta H Patel,mds.

The provider's business location address is:

13372 NEWPORT AVE
SUITE B
TUSTIN, CA
ZIP 92780-426
Phone: (714) 544-3430
Fax: (714) 573-8330

The provider's authorized official is Sangeeta H Patel .
The authorized official title is Owner and has the following contact phone number (714) 544-3430.

The CLIA number assigned to this NPI record is 05D0708721 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/10/2016 and was last updated on 5/16/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080A0000XPediatricsAdolescent MedicineA49867CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100A49867MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.