DR. GNYANDEV PATEL (NPI# 1376593657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376593657 |
| Entity Type | Individual |
| Full Name | DR. GNYANDEV PATEL |
| Credential | M.D. |
| Practice Address |
3300 E South St Suite # 206 Lakewood CA 90805-4549 |
| Mailing Address |
Po Box 189 Bellflower CA 90707-0189 |
| Practice Telephone | 5622322378 |
| Practice Fax Number | 5622322379 |
| Mailing Telephone | 5622322378 |
| Mailing Fax Number | 5622322379 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2011-10-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | A618690 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE NO. | A618690 | 01 |
| CA | E.I.N NO. | 200059993 | 01 |
| CA | B/C PROVIDER NO. | 00A618690 | 01 |
| CA | B/S PROVIDER NO. | 00A618690 | 01 |
| Street Address |
3300 E SOUTH ST SUITE # 206 |
| City | LAKEWOOD |
| State | CA |
| Zip Code | 90805-4549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063411684 | Sultanali Alidina | Internal Medicine | 3300 E South St, Suite 209, Lakewood, CA 90805-4549 | 2005-07-15 |
| 1396271763 | Priority Medical Care, Inc. | Internal Medicine | 3300 E South St, Suit 201, Lakewood, CA 90805-4549 | 2017-05-04 |
| 1568813723 | Kevin Kwok | Optometrist | 3300 E South St, Suite 105, Lakewood, CA 90805-4549 | 2016-06-28 |
| 1386048429 | Caremore Health Plan | Clinic/Center | 3300 E South St, #102, Lakewood, CA 90805-4549 | 2014-10-17 |
| 1730427436 | Mvm Medical Corporation | Internal Medicine | 3300 E South St, Ste 305, Lakewood, CA 90805-4549 | 2013-01-30 |
| 1154693307 | Rohun Medical Corporation | Specialist | 3300 E South St, Suite 206, Lakewood, CA 90805-4549 | 2012-02-03 |
| 1306115332 | Theresa Adele Smith | Nurse Practitioner | 3300 E South St, Suite #: 102, Lakewood, CA 90805-4549 | 2011-12-20 |
| 1114218559 | Jesse J Licuanan Md A Medical Corporation | Internal Medicine | 3300 E South St, Suite 205, Lakewood, CA 90805-4549 | 2011-04-19 |
| 1689978140 | Amy Elizabeth Pound | Social Worker | 3300 E South St, Lakewood, CA 90805-4549 | 2010-12-27 |
| 1407165079 | Ronald Castillo Tejada Jr. | Internal Medicine | 3300 E South St, Suite 205, Lakewood, CA 90805-4549 | 2010-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073154928 | Makando Mutanda | Counselor | 161 West Victoria St., Long Beach, CA 90805 | 2019-10-02 |
| 1326609496 | Alliance Hospitalist Medical Corporation | Internal Medicine | 3300 E South St Ste 307, Lakewood, CA 90805 | 2019-06-27 |
| 1609345925 | Belmont Rx LLC | Pharmacy | 6583 Atlantic Ave., 1st Floor Ste 109, Long Beach, CA 90805 | 2018-11-15 |
| 1508359605 | Mykayla Rowley | Case Manager/Care Coordinator | 5190 Atlatic Ave, Long Beach, CA 90805 | 2018-06-13 |
| 1942728589 | Marissa Liana Cabral | Social Worker | 5190 Atantic Ave, Long Beach, CA 90805 | 2017-09-04 |
| 1245757673 | Karina Vasquez | Licensed Vocational Nurse | 1325 E Poppy St, Long Beach, CA 90805 | 2017-08-25 |
| 1376060277 | Rebekkah Dawn Williams | Counselor | 100 East Market Street, Long Beach, CA 90805 | 2017-08-23 |
| 1871038919 | Andrea Dabbs | Pharmacist | 3700 E. South St., Lakewood, CA 90805 | 2016-12-28 |
| 1164972360 | Young Men's Christian Association of Greater Long Beach | Health Educator | 4949 Atlantic Ave, Long Beach, CA 90805 | 2016-10-12 |
| 1043662158 | Kristina Eunjeong Chang | Podiatrist | 3700 E South Street, Lakewood, CA 90805 | 2016-07-13 |
| Find all providers in zip 90805 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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| 1790275857 | Sarah Freidman | Specialist | 371 Hope Chapel Rd, Lakewood, NJ 08701-2373 | 2018-05-15 |
| 1932639051 | Nj Mobile Medical, PC | Specialist | 105 River Ave Ste 103, Lakewood, NJ 08701-4267 | 2017-06-13 |
| 1104372168 | Shoshana Klein | Specialist | 128 Liberty Dr, Lakewood, NJ 08701-4137 | 2016-08-30 |
| 1467803601 | Allison Chancellor | Specialist | 467 S Reed Ct, Lakewood, CO 80226-3322 | 2016-06-29 |
| 1568811503 | Sora Zucker | Specialist | 38 Dena Ct, Lakewood, NJ 08701-3591 | 2016-06-10 |
| 1831559285 | Asia R Lundquist | Specialist | 8520 Steilacoom Blvd Sw Ste 101, Lakewood, WA 98498-4773 | 2016-02-28 |
| 1649640145 | Alejandra Martinez | Specialist | 7650 W Virginia Ave, Suite B, Lakewood, CO 80226-3131 | 2015-09-28 |
| 1225406127 | Chana Neustadt | Specialist | 154 Tudor Ct, Lakewood, NJ 08701-1471 | 2015-09-09 |
| 1194107979 | Suri Englard | Specialist | 38 Eagle Ln, Lakewood, NJ 08701-4967 | 2015-06-29 |
| Find all providers in LAKEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.