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DR. OM R PATHAK DO
NPI 1174109763
General Practice in San Juan Capistrano, CA

Active since March 23, 2021PECOS Enrolled
30448 RANCHO VIEJO RD, SAN JUAN CAPISTRANO, CA 92675(949) 489-9342 Get Directions Write a Review

NPPES record last updated: December 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 19, 2025, Mar 23, 2021 (2 updates tracked since 2021).

About Dr. Om R Pathak Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. OM R PATHAK DO (NPI 1174109763) is an individual general practice provider in San Juan Capistrano, California, licensed in California (20A24172) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174109763
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. OM R PATHAKCredential: DO
Location Address30448 RANCHO VIEJO RDSan Juan Capistrano, CA 92675-1513
Mailing Address30448 Rancho Viejo RdSan Juan Capistrano, CA 92675-1513
Phone(949) 489-9342
Sole ProprietorNo
Enumeration DateMarch 23, 2021
Last NPPES UpdateDecember 19, 20252 updates tracked since enumeration
NPPES CertifiedDecember 19, 2025
✔ NPI 1174109763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · 20A24172
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
30448 RANCHO VIEJO RD, San Juan Capistrano, CA 92675
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Om R Pathak Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LIVING BETTER SOLUTIONS
In Home Supportive Care
30448 RANCHO VIEJO RD, SUITE 160
SAN JUAN CAPISTRANO, CA 92675
Orange County (949) 600-1888

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Om Pathak's NPI number?

The NPI number for Om Pathak is 1174109763. It was assigned to this individual provider in the NPPES registry on March 23, 2021.

Where is Om Pathak located?

Om Pathak practices at 30448 Rancho Viejo Rd, San Juan Capistrano, CA 92675. The listed phone number is (949) 489-9342.

What is Om Pathak's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Om Pathak enrolled in Medicare?

Yes. Om Pathak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Om Pathak was last updated on December 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.