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JEENABEN PATEL
NPI 1215329172
Registered Nurse in San Leandro, CA

Active since March 02, 2015PECOS EnrolledAccepts Medicare Assignment
2410 MERCED ST, SAN LEANDRO, CA 94577(510) 278-2700(510) 343-2851 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jeenaben Patel NPPES

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

JEENABEN PATEL (NPI 1215329172) is an individual registered nurse in San Leandro, California, licensed in California (95142808) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1215329172
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameJEENABEN PATEL
Location Address2410 MERCED STSan Leandro, CA 94577-4211
Mailing AddressPo Box 888584Los Angeles, CA 90088-8584 · (925) 691-9806 · Fax (925) 691-9807
Phone(510) 278-2700
Fax(510) 343-2851
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 2, 2015
Last NPPES UpdateOctober 23, 2024
NPPES CertifiedOctober 23, 2024
✔ NPI 1215329172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in CA · 95142808
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Also ListedLicensed Vocational NurseTaxonomy 164X00000X · License 285896 (CA)
2410 MERCED ST, San Leandro, CA 94577
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jeenaben Patel is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42709685
PECOS Enrollment IDI20251103000253
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.

Medicare Billing Reassignment

Medicare enrollment records show Jeenaben Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pine Park Health, Inc
13 mi
Internal Medicine
1901 4TH ST STE 201
Berkeley, CA 94710
  • Reassigned Medicare billing, California enrollment
  • 21 clinicians in this Medicare group
NPI 1346879848 (510) 929-1400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 14

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

TOUFAN RAZI, MEDICAL INCORPORATION
Anesthesiology (Pain Medicine)
2410 MERCED ST
SAN LEANDRO, CA 94577
Alameda County (510) 278-2700
LISA CUNG NP
Nurse Practitioner (Family)
2410 MERCED ST
SAN LEANDRO, CA 94577
Alameda County (510) 278-2700
PACIFIC PAIN INSTITUTE
Non-Pharmacy Dispensing Site
2410 MERCED ST
SAN LEANDRO, CA 94577
Alameda County (510) 278-2700
DENNIS NEWLIN MFT
Marriage & Family Therapist
2410 MERCED ST
SAN LEANDRO, CA 94577
Alameda County (510) 278-2700
MR. CRAIG A HUMES PA-C
Physician Assistant
2410 MERCED ST
SAN LEANDRO, CA 94577
Alameda County (510) 278-2700
DR. BENJAMIN ISAAC SANDLER PSY.D.
Psychologist (Clinical)
2410 MERCED ST
SAN LEANDRO, CA 94577
Alameda County (619) 972-2402
DR. TOUFAN RAZI MD
Anesthesiology (Pain Medicine)
2410 MERCED ST
SAN LEANDRO, CA 94577
Alameda County (510) 278-2700
FARNAZ NOSHEEN CHAUDHARY FNP
Nurse Practitioner (Family)
2410 MERCED ST
SAN LEANDRO, CA 94577
Alameda County (510) 278-2700

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 Jeenaben Patel's NPI number?

The NPI number for Jeenaben Patel is 1215329172. It was assigned to this individual provider in the NPPES registry on March 2, 2015.

Where is Jeenaben Patel located?

Jeenaben Patel practices at 2410 Merced St, San Leandro, CA 94577. The listed phone number is (510) 278-2700.

What is Jeenaben Patel's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Is Jeenaben Patel enrolled in Medicare?

Yes. Jeenaben Patel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jeenaben Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeenaben Patel reassigns Medicare benefits to Pine Park Health, Inc (Berkeley, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeenaben Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jeenaben Patel was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.