DR. AMIKSHA S PATEL


Address: 3975 Jackson St, Suite # 203, Riverside, CA 92503-3901
Phone: 9516896889

DR. AMIKSHA S PATEL (NPI# 1700817632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700817632
Entity Type Individual
Full Name DR. AMIKSHA S PATEL
Other Name AMIKSHA P PATEL
Credential M.D.
Practice Address 3975 Jackson St
Suite # 203
Riverside
CA 92503-3901
Mailing Address 17020 First Light Ln
Riverside
CA 92503-8708
Practice Telephone 9516896889
Practice Fax Number 9516896462
Mailing Telephone 9516896125
Mailing Fax Number 9516896462
Enumeration Date 2006-07-06
Last Update Date 2011-02-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QG0300X Family Medicine
Specialization: Geriatric Medicine
A 78581 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA DRIVERS LIC # B9534082 01
DEA REG # BP7100807 01
CA STATE LICENSE A 78581 01

Office Location

Street Address 3975 JACKSON ST
SUITE # 203
City RIVERSIDE
State CA
Zip Code 92503-3901

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912905191 Magnolia Women's Center Obstetrics & Gynecology 3975 Jackson St, Ste 110, Riverside, CA 92503-3901 2005-07-12
1306466180 Priya Patel Registered Nurse 3975 Jackson St, Riverside, CA 92503-3901 2020-04-21
1164960597 Healing Tree Wellness Center Inc Acupuncturist 3975 Jackson St, Suite 2069, Riverside, CA 92503-3901 2017-02-06
1619423233 Akila Arous Physician Assistant 3975 Jackson St, Riverside, CA 92503-3901 2016-09-01
1417399510 Junmi Yi Acupuncturist 3975 Jackson St, Suite 209, Riverside, CA 92503-3901 2013-07-18
1174963177 Manju Kaur Nurse Practitioner 3975 Jackson St, Riverside, CA 92503-3901 2013-07-05
1427496603 Bongkyu Nam Acupuncturist 3975 Jackson St, Suite 209, Riverside, CA 92503-3901 2013-06-10
1427318781 Sudha Moola Md Inc Clinic/Center 3975 Jackson St, 208, Riverside, CA 92503-3901 2012-05-21
1376842864 Tiffany H. Aman Pediatrics 3975 Jackson St, Ste 207, Riverside, CA 92503-3901 2011-03-23
1407163942 Riverside Family Physicians Non-Pharmacy Dispensing Site 3975 Jackson St, 301, Riverside, CA 92503-3901 2010-09-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255953618 Mohammad Abul-fielat Dds Inc Dentist 3825 Tyler St, Riverside, CA 92503 2020-05-08
1205396488 Francisco Aguayo Behavioral Analyst 3345 Jackson St, Riverside, CA 92503 2019-03-22
1073071684 Racheal Ego Aneke Nurse Practitioner 9890 County Farm Rd., Building 2, Riverside, CA 92503 2019-03-04
1073070264 Luxottica of America Inc. Eyewear Supplier (Equipment, not the service) 3500 Tyler Mall, Riverside, CA 92503 2019-02-25
1053893271 Tsibel Dental Practice Inc. Dentist 10181 Magnolia Ave, Riverside, CA 92503 2018-09-04
1508344714 Patricia Marraine Redondo Counselor 1625 14th St, Riverside, CA 92503 2018-07-31
1740766146 Robles Rodef & Yaghoubi Dental Corporation Dentist 5628 Van Buren Blvd Suite #a, Riverside, CA 92503 2018-07-18
1467961755 Daniela Popa Assisted Living Facility 10820 Calle Bella, Riverside, CA 92503 2017-09-29
1457860306 Leah Dreany Peer Specialist 2085 Rustin Avenue Building #3, Riverside, CA 92503 2017-09-22
1710400445 Christopher John Guting Peer Specialist 10230 Indiana Avenue, Riverside, CA 92503 2017-07-25
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Taxonomy Information

Taxonomy Code 207QG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Geriatric Medicine

Taxonomy Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972973204 Health To Home Central Inc Family Medicine 5750 Division St, Suite 208, Riverside, CA 92506-3269 2015-09-29
1285029140 Health To Home, Inc Family Medicine 5750 Division St, Suite 209, Riverside, CA 92506-3269 2015-03-30
1215204144 Noemi Fabiola Vazquez Family Medicine 10800 Magnolia Ave, Riverside, CA 92505-3043 2011-11-21
1982803359 Nadia Mujahid Family Medicine 375 Wampanoag Trl, Suite 102, Riverside, RI 02915-2212 2007-07-16
1003036187 Miriam Cho Family Medicine 7117 Brockton Ave, Riverside, CA 92506-2615 2007-04-30
1912029091 Rpp Family and Elder Care, Inc Family Medicine 3975 Jackson St, Suite 203, Riverside, CA 92503-3901 2007-04-06
1295883155 Richard E. Lewis Family Medicine 10800 Magnolia Ave, Riverside, CA 92505-3043 2007-01-08
1861551525 Richard Cheng Family Medicine 10800 Magnolia Ave, Riverside, CA 92505-3043 2006-12-08
1043379605 Sivakumar R. Yeturu Family Medicine 10800 Magnolia Ave, Riverside, CA 92505-3043 2006-12-08
1992876957 William P. Hunt Family Medicine 10800 Magnolia Ave, Riverside, CA 92505-3043 2006-11-13
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Competitor

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City RIVERSIDE
Zip Code 92503

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Dataset Information

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.

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