NISHA PATEL (NPI# 1649671108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649671108 |
| Entity Type | Individual |
| Full Name | NISHA PATEL |
| Practice Address |
12201 Highland Ave Rancho Cucamonga CA 91739-2573 |
| Practice Telephone | 9096469366 |
| Practice Fax Number | 9096469375 |
| Mailing Telephone | 9096469366 |
| Mailing Fax Number | 9096469375 |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2020-01-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 18792 | NV | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | S020858 | AZ | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
76320 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773205 | Nisha Patel | Pharmacist | 1600 S Western Street, Amarillo, TX 79106 | 2020-09-01 |
| 1144877689 | Nisha Patel | Dentist | 1030 Higgins Rd Ste 260, Park Ridge, IL 60068-5761 | 2019-08-20 |
| 1497300701 | Nisha P Patel | Nurse Practitioner | 301 Los Gatos Saratoga Rd Ste A, Los Gatos, CA 95030-5327 | 2019-08-04 |
| 1083175236 | Nisha Patel | Physician Assistant | 2902 59th St W Ste C, Bradenton, FL 34209-7021 | 2019-03-29 |
| 1356820211 | Nisha Patel | Optometrist | 10300 Southside Blvd Ste 114, Jacksonville, FL 32256-6759 | 2018-08-11 |
| 1194221770 | Nisha Bharat Patel | Student in an Organized Health Care Education/Training Program | Edwards Medical Plaza Suite 320, 1300 North 12th Street, Phoenix, AZ 85006 | 2018-04-03 |
| 1609300425 | Nisha Patel | Pharmacist | 9589 Wiltshire Dr, Ooltewah, TN 37363-4934 | 2017-04-18 |
| 1710425699 | Nisha Patel | Nurse Practitioner | 8 Arrowwood Ct, Streamwood, IL 60107-1907 | 2017-02-10 |
| 1750756250 | Nisha Patel | Speech-Language Pathologist | 18 Hoover Ave, West Orange, NJ 07052-2319 | 2015-12-09 |
| 1164838231 | Nisha Patel | Counselor | 2344 Old Sonoma Road, Napa, CA 94559 | 2014-07-09 |
| Street Address |
12201 HIGHLAND AVE |
| City | RANCHO CUCAMONGA |
| State | CA |
| Zip Code | 91739-2573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437174034 | Ralphs Grocery Company | Durable Medical Equipment & Medical Supplies | 12201 Highland Ave, Rancho Cucamonga, CA 91739-2573 | 2006-07-13 |
| 1831512094 | Timothy Cheng | Pharmacist | 12201 Highland Ave, Rancho Cucamonga, CA 91739-2573 | 2014-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699230300 | Gogo Medical Transport Inc. | Non-emergency Medical Transport (VAN) | 13269 Firestone Dr, Rancho Cucamonga, CA 91739 | 2019-02-06 |
| 1306348768 | Pakravan, Manavi & Cohen Dental Corporation | Dentist | 7210 Day Creek Blvd, Suite 110, Rancho Cucamonga, CA 91739 | 2018-03-01 |
| 1770082141 | Rajnis Jasani | Pharmacist | 7777-b Milliken Ave, Ste 100, Rancho Cucamonga, CA 91739 | 2018-02-12 |
| 1548787542 | Carla Hibet Castillo | Counselor | 7165 Etiwanda Ave, Rancho Cucamonga, CA 91739 | 2017-08-29 |
| 1598282428 | Yung Chun Chen | Dentist | 12453 Royal Oaks Dr., Montclair, CA 91739 | 2017-08-22 |
| 1508386806 | Emily Rose Marlen | Counselor | 845 E. Arrow Highway, Pomona, CA 91739 | 2017-06-27 |
| 1124384540 | Ameerah Rasheedah-bonner Mcmann | Marriage & Family Therapist | 8481 Etiwanda Avenue, Apartment G, Rancho Cucamonga, CA 91739 | 2012-04-10 |
| 1679866784 | Bodylogics Health Services Inc. | Rehabilitation Practitioner | 12730 Foothill Blvd., Unit 102, Rancho Cucamonga, CA 91739 | 2011-05-23 |
| 1801196027 | Lisa Louise Hazelwood | Psychologist | 9500 Etiwanda Ave., West Valley Detention Center, Attn: Medical Srvcs/liberty Roc, Rancho Cucamonga, CA 91739 | 2010-10-22 |
| 1700023520 | Gideon Puiyuen Kwok | Legal Medicine | 12225 Foothill Blvd #120, Rancho Cucamonga, CA 91739 | 2009-01-15 |
| Find all providers in zip 91739 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154682243 | Louis Petrie | Pharmacist | 8283 Grove Ave # 107, Rancho Cucamonga, CA 91730-3137 | 2012-06-05 |
| 1326310319 | Jean Pierre Bullon | Pharmacist | 7952 Elmhurst Ave, Rancho Cucamonga, CA 91730-2907 | 2012-02-06 |
| 1326556689 | Rosemary Nwakaego Anyanwu | Pharmacist | 12549 Foothill Blvd, Rancho Cucamonga, CA 91739-9317 | 2018-01-19 |
| 1265830863 | Arezou Petrie | Pharmacist | 8283 Grove Ave, Ste 105, Rancho Cucamonga, CA 91730-3137 | 2014-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376142430 | Daria Mohazzab Hosseinian | Pharmacist | 450 E Spring St Ste 11, Long Beach, CA 90806-1625 | 2020-10-20 |
| 1235745100 | Ngoc Tran | Pharmacist | 10371 Luders Ave, Garden Grove, CA 92843-3213 | 2020-09-16 |
| 1275143752 | Sherine Ann Legge | Pharmacist | 17 Westchester Ct, Trabuco Canyon, CA 92679-4955 | 2020-08-09 |
| 1922618412 | Ashley Keane Hayes | Pharmacist | 6551 E El Pulcro St, Long Beach, CA 90815-2302 | 2020-08-09 |
| 1750991543 | Priyankumar Arvind Patel | Pharmacist | 2339 S G St, Fresno, CA 93721-3425 | 2020-08-05 |
| 1912521261 | Sharon Jung | Pharmacist | 851 Langholm Way, Riverside, CA 92508-6075 | 2020-06-02 |
| 1710500376 | Christine Nguyen | Pharmacist | 2248 E Nyon Ave, Anaheim, CA 92806-4634 | 2020-05-18 |
| 1134740582 | Cj3m Corporation | Pharmacist | 2626 El Camino Real Ste A, Carlsbad, CA 92008-1253 | 2020-04-27 |
| 1629607775 | Tiffany Chang | Pharmacist | 213 Quarry Rd Rm 2726a, Palo Alto, CA 94304-1416 | 2020-04-01 |
| 1124655782 | Noor Mikhail | Pharmacist | 220 W Main St Ste 102, El Cajon, CA 92020-3462 | 2020-03-24 |
| Find all providers with the same taxonomy | ||||
| City | RANCHO CUCAMONGA |
| Zip Code | 91739 |
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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.