SHIV PRAVIN PATEL NPI 1306426093

NPI Information

  • NPI: 1306426093
  • Provider Name: SHIV PRAVIN PATEL
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1131 WILSHIRE BLVD STE 300
    SANTA MONICA, CA
    ZIP 90401
  • Phone: (310) 395-5588

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NPI Details

Shiv Pravin Patel is a family medicine in Santa Monica, CA with 4 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Shiv Pravin Patel NPI is 1306426093. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduation Year:2021

The provider's business location address is:

1131 WILSHIRE BLVD STE 300
SANTA MONICA, CA
ZIP 90401-066
Phone: (310) 395-5588
Fax: (310) 395-6313

The NPI 1306426093 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/8/2021 and was last updated on 9/4/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineLL86021SOUTH CAROLINANo
2207Q00000XFamily MedicineA195003CALIFORNIAYes

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: 11/21/2025

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